Rcm Representative, Authorization

Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states. We’re focused on serving people and the communities we are part of.

Job Summary:
The RCM Representative, Authorization reports to the RCM Client Access Supervisor. This position performs general data entry & keying tasks for the Revenue Cycle Management Department's authorization management functions that require a high degree of attention to detail, and ability to analyze and resolve routine problems. 

This is a REMOTE role.

• You are flexible and can embrace change
• You value progress over perfection
• You care about your work, the team you’re on, and the people we are helping
• You make it a priority to get to know the people around you – build relationships with your colleagues and business partners
• You say what needs to be said, while considering how it’ll affect culture and output
• Hold others to a high standard

  Duties and Responsibilities:
 

• Obtain authorizations from payers and upload to the applicable document repository
• Identify authorization issues and contact payer representatives to correct as needed.
• Utilize payor portals, MCO provider phone lines and email to communicate and resolve authorization issues.
• Work with Operations team to ensure schedule properly aligns with authorization units.
• Identify authorization changes as they are occurring, correct and modify master profiles as necessary.
• Keep track of all authorizations and expiration dates of the authorizations. Obtain new authorizations before expiration dates
• Alerts the RCM Supervisor or RCM Manager regarding late or missing documents required for billing.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Performs other related duties as assigned.

Required Skills/Abilities:

• Self-motivated; reliable; strong attention to detail; maintains confidentiality; complies with all Company policies and procedures.
• Demonstrates excellent communication and customer service skills under duress at a fast pace; ability to function as a positive team member.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications.

Education and Experience:

• High School diploma or GED required.
• One (1) to two (2) years’ experience of revenue cycle management or billing experience in the healthcare field.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.

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