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Authorization Coordinator
1 week ago
Overview
The authorization coordinator is responsible for providing accurate and complete data input for precertification requests, verifying insurance, and obtaining authorization as required by each insurance company. The authorization coordinator works closely with branch staff to ensure adequate coordination and transition.
This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WY.
ResponsibilitiesProvide specific details regarding a patient's insurance benefits prior to admission Obtain appropriate authorizations specific to patient's care Provide insurance company with all required information within contractual timelines Verify insurance information and provide specific details of patient benefits in record; include deductible, out-of-pocket, co-pays, co-insurance, and amounts met, as well as in- and out-of-network benefits Verify secondary insurances if primary insurance is not covered 100% Assist with in-network agencies if insurance is out-of-network Verify Medicare eligibility and ensure accuracy of Medicare number in the patient record Qualifications
Must have a high school diploma or equivalent. Two years of college or professional school is preferred. One year of third party eligibility verification experience is preferred. One year experience in insurance authorizations is preferred. One year experience with ICD-10, CPT codes, or HCPCS is preferred. Must be organized with the ability to communicate effectively.
