Authorization & Eligibility Clerk

Addus HomeCare•Frisco, TX

1d•$18 - $21•Remote

About The Position

The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health & Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred by not required. Home health and or hospice experience preferred but not required.

Requirements

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

Insurance experience preferred - running/reading eligs, requesting authorizations
HCHB experience preferred
Home health and or hospice experience preferred but not required.

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.