Authorization & Eligibility Clerk (Hospice) Remote
About The Position
The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in Home Health & Hospice. This role involves communicating with staff regarding authorization dates, following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience is preferred but not required. Hospice Commercial authorization experience is required. This is a full-time, remote position working Monday through Friday, 40 hours per week, with some overtime and an on-call rotation for evenings until 7 pm and weekends from 8 am to 7 pm. The pay rate is $18 to $21 hourly.
Requirements
- Hospice Commercial authorization experience required
- Home health & Hospice experience required
- Possess knowledge of medical terminology and/or possess general medical background
- Ability to work with little supervision and make appropriate judgments
- Excellent organizational skills, and interpersonal skills
- Must be dependable, tactful and ability to follow orders
- Demonstrate ability to manage multiple deadlines
- Must have advanced computer skills
- Must have excellent customer service skills
- Must be proficient in Excel and Microsoft Word
Nice To Haves
- HCHB experience preferred
- Insurance experience preferred - running/reading eligs, requesting authorizations
Responsibilities
- Track and request all authorizations for private insurance
- Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager
- Disseminate accurate information regarding authorizations to staff
- Minimize denied authorizations
- Schedule authorizations upon receipt
- Enter staff schedules for private pay clients weekly
- Verify insurance eligibility of clients on a monthly basis
- Report unauthorized visits monthly
- Adhere to work schedule and maintain good punctuality and attendance record
- Adhere to dress code
- Perform any other related duties and responsibilities deemed necessary by Supervisor.
Benefits
- Medical, Dental and Vision Benefits
- Continued Education
- PTO Plan
- Retirement Planning
- Life Insurance
- Employee discounts
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
