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Authorization Management Specialist

2 months ago

Saint Paul, Minnesota, United States Circle of Life Home Care Anishinaabe Full time
Job Overview

Circle of Life Home Care Anishinaabe is expanding, and we are seeking a Prior Authorization Coordinator to enhance our corporate operations. As a prominent home care provider across six states, we are dedicated to delivering exceptional services to seniors, children, and individuals with disabilities. Our mission is to "honor those we serve," ensuring that our clients maintain their independence in the comfort of their own homes and communities.

The Prior Authorization Coordinator plays a vital role in collaborating with the billing department and branch offices to oversee the reassessment process, which includes tracking the status of service authorization requests.

Employee-Centric Environment

At Circle of Life, we prioritize creating a workplace characterized by respect, appreciation, and teamwork. We support our employees through collaborative scheduling, a commitment to well-being, a client-first approach, and a culture that values every team member, all while offering competitive compensation and benefits.

Commitment to Service

Our team, both in the office and in the field, is dedicated to supporting one another and the clients we serve. We are committed to caring for a diverse range of patients, always focusing on honoring those we serve.

Key Responsibilities

  • Facilitate the organization-wide eligibility process.
  • Oversee the submission and tracking of all reassessment requests.
  • Assist with follow-ups on re-authorizations or pending authorizations as necessary.
  • Document all follow-up activities and communications with branch offices regarding status and changes.
  • Conduct daily/weekly eligibility checks for clients, documenting all activities and communicating with branch offices on status and changes.
  • Provide backup support to the billing department as required.

Qualifications

Ideal candidates should demonstrate proficiency in Microsoft Office Suite, possess strong verbal and written communication skills, and exhibit a proven ability to meet deadlines alongside excellent organizational skills (attention to detail). Previous experience in healthcare is advantageous.

Impactful Contributions

  • Make a positive difference in the lives of individuals and families within our communities.
  • Enhance access to care for those traditionally underserved by the healthcare system.
  • Be part of a talented team that fosters mutual support.

Benefits Offered

  • Comprehensive Medical, Dental, and Vision coverage, 401K, Mileage reimbursement, Flexible Schedules, and Year-End Bonus.