Authorization Specialist

Alternate Solutions Health Network • Lincoln, NE

5d • Onsite

About The Position

At Alternate Solutions Health Network, we care for patients where they spend the majority of their time – in their homes. Today we care for patients who need skilled home care and hospice services. You won’t find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home. As an Authorization Specialist, you will take the lead in securing medical authorizations from third party payers (commercial and government) for post-acute services. The Authorization Specialist will be instrumental in obtaining written documentation, tracking, prioritizing and reporting outcomes of each authorization request. You will interface directly with clinical staff, medical offices and insurance payors to ensure a seamless process to the patients receiving post-acute health care services.

Requirements

• High-School graduate or equivalent.
• Capable of all physical demands.

Nice To Haves

• Associate's degree preferred.
• 1 year of billing insurance experience in a health care environment preferred.
• Experience with Peachtree, HCHB and EPIC is preferred.
• Ability to learn new systems.

Responsibilities

• Securing medical authorizations from third party payers (commercial and government) for post-acute services.
• Obtaining written documentation, tracking, prioritizing and reporting outcomes of each authorization request.
• Communicates with patients, employees and vendors regarding services.
• Assists patients, their families and co-workers in understanding authorizations and eligibility.
• Checks eligibility for all payor types.
• Assumes responsibility for all patient authorizations.
• Collects and records accurate patient information.
• Understands and practices agency policies and procedures and continually improves practices.
• Able to follow all legal rules and regulations.

Benefits

• Medical, dental, and vision insurance
• Paid time off
• 401K
• Company paid life insurance
• Disability insurance
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED