Prior Authorization Coordinator

6 days ago

Richmond Heights, Virginia, United States Old Glory Home Health Care & Assistive Care Full time $60,000 - $120,000 per year

Benefits:

  • Competitive salary
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Savings bank
  • Training & development
  • Vision insurance

Job Opportunity: Insurance Prior Authorization Coordinator - Home Health Agency

Location: Richmond VA

Job Type: Full-time/Part Time

Salary: Competitive & Based on Experience

About Us:

We are a new, rapidly growing home health agency dedicated to providing exceptional care to our patients. As we expand, we are seeking an experienced Insurance Prior Authorization Coordinator to join our team. This position offers a unique opportunity for growth, with potential for advancement into management roles.

Key Responsibilities:

  • Submit insurance prior authorization requests for home health services in compliance with payer requirements.
  • Work closely with physicians, medical staff, and insurance companies to secure approval for patient care services.
  • Review patient charts and clinical documentation to ensure accurate and thorough prior authorization requests.
  • Communicate effectively with insurance providers and resolve any issues or delays in the approval process.
  • Maintain accurate records of all prior authorization activities and document communications.
  • Stay updated on insurance policies and regulations, ensuring compliance with state and federal guidelines.
  • Collaborate with clinical and administrative teams to ensure a smooth and timely authorization process.

Qualifications:

  • Minimum of 2 years of experience in insurance prior authorization, preferably in home health or a healthcare setting.
  • Strong knowledge of insurance payer systems, processes, and requirements.
  • Excellent communication and problem-solving skills.
  • Ability to work independently and manage multiple tasks in a fast-paced environment.
  • Familiarity with home health documentation and medical terminology.
  • Detail-oriented with strong organizational skills.
  • Experience with prior authorization software is a plus.

What We Offer:

  • Competitive salary with opportunities for career advancement.
  • Growth potential within the company, including advancement into management roles.
  • Collaborative and supportive team environment.
  • Ongoing training and professional development.
  • Flexible work schedule options as we continue to grow.

If you're an experienced insurance prior authorization coordinator looking to take the next step in your career with a rapidly growing company, we encourage you to apply today

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