Home Health Insurance Verification Specialist

Qualifications

•The ideal candidate will be an individual, who is just as comfortable working autonomously as with a team

•Knowledge of third party payer regulations including Medicare, Medicaid, Veterans Affairs (VA) and private insurance

•Ability to promote and maintain a positive attitude and encourage others to do the same

•Strong organizational skills and the ability to work independently with minimal supervision

•Demonstrates ability to make appropriate judgments as it relates to payer authorization

•Strong written and oral communication skills

•Basic computer skills with the ability to learn new software

•Working Conditions and Physical Effort: Works in a routine office environment•Requires working under some stressful conditions to meet deadlines

•Requires typing and computer proficiency

Responsibilities

•The roles primary responsibility is to verify insurance benefits, obtain/maintain authorizations and enter into data base system

•Verifies insurance eligibility an authorization of current and potential Home Health clients in an accurate and timely manner

•Communicates payer authorization and eligibility information to billing department and administrators

•Enters insurance authorization and eligibility information

•Notifies management regarding lack of payer coverage or other service non-coverage issues

•Performs re-authorization and eligibility checks in a timely manner•Communicates and documents information regarding change in authorization and eligibility to management

•Monitors and ensures all client authorization of services are current and quantity and type of services provided meet payer requirements

•Reviews and ensures appropriate processing of authorizations•Sends informational correspondence to payer

•Maintains professional, positive and effective communication with payer and clients

•Maintains confidentiality of all information pertaining to clients

•Performs other related duties and responsibilities as assigned

•Maintains knowledge and education to remain current, efficient and productive as an authorization specialist

•Demonstrates self-direction to prioritize and accomplish job responsibilities

•Promotes agency philosophy and mission by presenting a positive image to patients, families, physicians and the overall community

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work Location: In person