Insurance Authorization Specialist - West
Insurance Authorization Specialist - West
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Overview
Pursue your passion and fulfill your purpose at KidsCare!KidsCare Home Healthis a multi-award-winning organization who was most recently recognized as a2024 U.S. Top Workplace. As an award-winning organization we are looking for dedicated professionals who will embrace the KidsCare core values. At KidsCare we desire to work with individuals who embody the values of the organization which together create ourC.A.R.E. culture.In return we offer afull benefits packageto include health dental and vision insurance paid time off 401K tuition reimbursement anda hybrid or blended work arrangement(providing balance between in office and work from home).
Responsibilities
We are currently looking for anInsurance Authorization Specialistto joinour team! This position works with multiple payer sources obtain insurance authorization for physician ordered services. Monitor and recertify authorization prior to current expiration date.
Essential Duties and Responsibilities
- Maintain authorization workflows to obtain routine initial and reauthorizations.
- Schedule authorized visits to clinicians caseload.
- Process authorization emails and/or kickbacks received from payer.
- Participate in proactive team efforts to achieve departmental and company goals.
- Communicate with caregiver and clinicians to provide updates as needed.
- Keep up to date with all payor requirements and procedural changes for each payer.
- Contact payer sources for outstanding authorizations including fax authorization requests with necessary clinical documentation to obtain authorization.
- Prepare and fax authorization documentation to physician for signature.
- Process payer changes each month.
- Ensure timely processing of discharge and managing clients holds in the organizations healthcare software system.
- Anticipate and facilitate orders needed for upcoming episodes to maintain continuation of care.
- Comply with all safety policies practices and procedures and report unsafe activity to your supervisor.
- Other duties as assigned.
Qualifications
Other Qualifications and Skills
- Ability to carry out detailed but involved written instructions able to problem solve with few variables.
- Ability to communicate clearly written and verbally.
- Adaptability and self-motivated.
- Microsoft Office and database activity.
- Handle multiple tasks simultaneously.
Education and Work Experience
- Zero (0) One (1) years of administrative experience preferred.
- High school diploma or general education degree (GED); combination of education and 1 year of experience.
Physical Demands/Working Environment
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job the employee is regularly required to stand sit; talk hear and use hands and fingers to operate a computer and telephone keyboard.
- Ability to sit at a computer for an extended period.
- Light to moderate physical activity and lifting is .
- Specific vision abilities required by this job include close vision requirements.
- Moderate noise (i.e. business office with computers phone and printers light traffic).
Required Experience:
Unclear Seniority
Employment Type
Full-Time
