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Centralized Authorization Specialist

1 week ago

Colorado Springs, Colorado, United States Human Touch Home Health Care Full time
Job Description Job Description

Human Touch Home Care is looking for a qualified Authorization Specialist to join our team. As an Authorization Specialist, you play a crucial role in facilitating and managing the authorization process for medical services within a healthcare organization. Your primary responsibility is to ensure that all necessary approvals and documentation are obtained efficiently and accurately to support patient care and financial processes.

About us: We are a home healthcare provider in the area. We provide comprehensive, skilled, and non-skilled services, to our home bound clients in Colorado, with an excellent track record of client-focused care. We strive to help clients to improve their lives while in the comfort of their homes. To meet our standard of care, we offer a variety of affordable and high-quality home health care solutions that will meet the needs of the seniors, disabled, and ill members of the community.

Benefits:

  • Competitive salary commensurate with experience.
  • Opportunities for professional development and career advancement
  • Comprehensive benefits package including:
    • Health insurance
    • Vision
    • Dental
    • Paid Time Off
    • Sick Leave
    • Retirement plans

Responsibilities:

  • Perform prior authorization for new and existing patients.
  • Perform new intake eligibility and benefits.
  • Facilitate the communication functions of the business office.
  • Provide clerical support and excellent customer service, including explaining insurance benefits to clinical staff.
  • Adhere to all policies and procedures.
  • Enter new patients into scheduling system and update to patient information as they occur.
  • Communication with clinicians regarding admissions, hospitalizations, discharges, and expirations.
  • Perform other duties assigned to meet the goals and objections of our home care operations.

Qualifications:

  • High school diploma/GED (Required).
  • Minimum of two years' experience in medical prior authorizations (Required).
  • Experience with EMR and Microsoft office (Required).
  • Knowledge of HIPAA and medical terminology(Required).
  • Strong knowledge of Medicare, Medicaid, and commercial insurances(Required).
  • Ability to multi-task in face paced environment.
  • Excellent interpersonal and organization skills.
  • Must be able to work in group and independent environment.

Job Type: Full-time

Schedule: Monday through Friday 8:30am to 5:00pm.

Pay: $18-$21 per hour per hour (pay based on experience)

Note - This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned by their supervisor. Adjustments can also be made based on specific organizational needs and local regulatory requirements.

Job Posted by ApplicantPro