Authorization And Eligibility Manager
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Job Location:
Murfreesboro, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Our Company
BrightSpring Health Services
Overview
Responsible for overseeing the agencys Authorization Department by supervising the Authorization Specialists. Oversees and assists in the process of obtaining and tracking authorization for all patients for whom their insurance requires pre-authorization and ensures the agency has the authorization required to bill for services provided.
Responsibilities
- Answers telephones and provides excellent customer service to our professional staff and insurance representatives.
- Runs and utilizes computer reports regularly.
- Provides accurate complete updates to Agency management on status of authorizations for all patients requiring treatment authorization.
- Ensures insurance eligibility is completed and accurate for all patients.
- Ensures authorization is obtained and tracked for all patients whose insurance requires pre-authorization
- Ensures all authorization requests and insurance eligibility are documented clearly.
- Participates in planning for the orientation and education of employees as it relates to Authorization department.
- Oversees approves and manages departmental payroll PTO and overtime requests.
- Ensures objectives are implemented; follows and promotes agency policies and procedures.
- Serves as a role model for all colleagues by setting an example of high standards in dress conduct cooperation and job performance.
- Observes confidentiality and safeguards all patient related information.
- Notifies Supervisor of problems in a timely manner and works to help provide solutions.
- Completes ongoing education requirements and demonstrates ongoing competency in required areas.
Qualifications
- High school graduate or GED.
- Minimum of two (2) years of experience in health care billing and/or authorization practices.
- Minimum of one (1) year of supervisory or management experience.
- Must have an active and unrestricted drivers license with appropriate auto insurance.
- General knowledge of the framework organization and function of home care.
- Sound knowledge of health care operations and third-party reimbursement.
- Proficient in the use of Microsoft Office (Word Excel Outlook Internet Explorer) with the ability to learn industry specific software applications.
- Solid organizational skills thoroughness and a keen attention to detail with the ability to multi1task while prioritizing effectively.
- Ability to work independently and in a team environment.
- Excellent oral written and interpersonal communication skills.
- Professional appearance and demeanor.
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Companys service lines including pharmacy home health care and primary care and rehabilitation and behavioral health we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450000 customers clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information please visit . Follow us on Facebook LinkedIn and X.
Required Experience:
Manager
Key Skills
- Compliance Management
- Administrative Functions
- Oversight
- Administrative Activities
- Administrative Tasks
- Budget Preparation
- Facilities Management
- Daily Operations
- Account Management
- General Ledger Accounts
- Personnel Files
- Administrative Management
- Financial Statements
- Administrative Operations
- Annual Budget
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
