Authorization Insurance Verification Coordinator

WORKING NURSES HEALTHCARE•Margate, FL

15h

About The Position

We are seeking a detail-oriented and highly analytical Authorization Insurance Verification Coordinatorto join our home health agency. In this role, you will be responsible for verifying patient insurance benefits, ensuring benefits are current, and communicating financial responsibilities including copays, deductibles, and any other pertinent information. In this role the ideal candidate will work closely with insurance companies, and patients to verify coverage and secure the necessary approvals to optimize reimbursement and patient satisfaction. This is a fast-paced role requiring excellent communication skills, a strong attention to detail, and the ability to work efficiently in a dynamic environment.

Requirements

Minimum of 1-2 years in insurance verification, authorization, or a related field, preferably in the healthcare industry.
Strong understanding of insurance terminology, benefits, and healthcare coverage.
Excellent analytical skills and attention to detail.
Ability to work effectively in a fast-paced and demanding environment.
Strong written and verbal communication skills.
Proficient in using insurance portals and patient management systems.
Ability to multitask and prioritize effectively in a busy environment.

Nice To Haves

Experience working in a home health agency or similar healthcare setting is preferred.
Experience or knowledge of Availity and KanTime a plus.

Responsibilities

Verify and authorize insurance coverage for home health services for patients.
Communicate with insurance providers to obtain and confirm benefits, including copays, deductibles, and co-insurance.
Ensure all patient financial responsibility details are documented and accurately communicated to patients and team members.
Maintain up-to-date records of verification results in the agency’s system.
Collaborate with clinical and billing teams to resolve discrepancies and obtain necessary approvals for services.
Monitor and follow up on outstanding authorizations or denied claims to ensure timely resolution.
Ensure compliance with company policies, state, and federal regulations regarding insurance and authorization processes.
Provide clear and concise explanations of insurance coverage to patients and families.
Handle patient inquiries with professionalism and accuracy.
Ensure claims and visits are approved for optimal reimbursement.