Authorization and Benefit Clerk - ProHealth Home Health & Hospice (Centre, AL)

ProHealth Home Health and Hospice•Centre, AL
•Onsite

About The Position

The Authorization and Benefit Clerk supports office operations for ProHealth Home Health & Hospice. Responsibilities may include verifying accepted payers, obtaining required authorizations, charting, making phone calls, and scheduling patients. The role is typically a first point of contact for intake and clinical staff, greeting them and gathering initial contact, referral, and insurance information. The position works indoors in an office space and is supervised by the Director of Verification and Authorizations. It is classified as low risk. Physical tasks may include participating in physical activity, working for extended periods while sitting or standing, moderate lifting, and regular moderate bending, lifting, and standing.

Requirements

  • High school diploma or GED.
  • Computer skills, including Microsoft Office, Excel, Word, Outlook, and scheduling programs.
  • Interpersonal, organizational, and communication skills.
  • Ability to carry out directions, read, and write.
  • Maturity and ability to deal effectively with the demands of the job.
  • Basic medical terminology.

Nice To Haves

  • Previous experience with insurance verification or authorization.
  • Prior scheduling experience.

Responsibilities

  • Verify all assigned payers in a timely manner.
  • Maintain professional relationships and communicate professionally with internal and external customers.
  • Obtain required authorizations for assigned payers in a timely manner.
  • Follow up promptly on pending or outstanding authorizations.
  • Maintain office space and reception areas.
  • Work with billing on follow-up related to retro pre-certification, billing issues, and authorization denials.
  • Oversee office and medical supply inventories.
  • Manage email and mail traffic in a timely manner.
  • Maintain forms and packages as directed by the supervisor.
  • Perform other duties as assigned.
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