Job Title/Position: Insurance Authorization Coordinator

Reports to: Authorization Supervisor

POSITION SUMMARY:

Under the direction of the Authorization Supervisor, the Insurance Authorization Coordinator is responsible for the verification of insurance eligibility, patient demographic entry, application for authorization or continued authorization, and authorization retrieval and reconciliation.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

• Secures authorizations for all managed Medicare and commercial payors in a timely and thorough manner to maximize timely billing and prevent bad debt.
• Tracks all authorizations and maintains a database of authorization information, as well as the status/outcome of all requests.
• Communicates timely with clinical staff and third-party payors regarding medical necessity for authorizations for home care services and reminders regarding insurance authorization expirations.
• Maintains data in the computer system and verifies the accuracy of the information.
• Communicates with scheduling coordinators, clinical staff, and managers/supervisors regarding inquiries, referrals, and ongoing authorization.
• Duplicates and collates forms, reports, correspondence, etc., as required to ensure accurate and timely authorization.

POSITION QUALIFICATIONS

• One year of patient healthcare authorization, eligibility, and data entry.
• Comprehensive knowledge of insurance processes used to obtain authorization.
• Ability to work independently or as an active member of a team.
• Accurate and precise attention to detail.
• Ability to multi-task, prioritize, and manage time efficiently.
• Strong leadership skills with attention to detail and accuracy.
• Excellent verbal and written communication skills.
• Goal-oriented, organized team player.
• Experience in office and other patient care software, including Microsoft Word, Excel, Adobe, and E-fax.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: In person

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