Authorization Specialist

Hearst•Dallas, TX

10d

About The Position

Homecare Homebase is searching for a Home Health and Hospice Authorization Specialist who will be responsible for complete and accurate oversite of the HCHB authorization process and case management. At Homecare Homebase, we help home health and hospice organizations across the nation overcome the business and technological challenges that stand in the way of patient care and efficiency. As a Home Health and Hospice Authorization Specialist, you will play an essential role in ensuring accurate obtainment of authorization and recertification needs for our customers so that they can focus their time and energy on delivering high quality patient care. You will be responsible for: Oversight of the insurance authorization process regarding case management and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build effective communication bridges with HCHB RCS clients at both the central and branch agency level to assist or explain exceptions. Perform routine review of appropriate workflows and redirect workflows as needed. Demonstrate ability to solve problems independently and at an optimal level. Coordinate communication with clients contracting and clinical departments on payor related issues as appropriate. Follow written and verbal communications. Homecare Homebase's mission is to empower exceptional care among all the clients we serve. The Home Health and Hospice Authorization Specialist supports this mission by facilitating client care pathways for our customers so they can effectively run their businesses. At Homecare Homebase, we don't just help our clients succeed; we help our employees succeed. Competitive pay, robust benefits, and professional development opportunities are a few of the many reasons that Homecare Homebase is a great place to build your career. Above all, employees are part of a work environment where we live our CARES values: Care, Act, Respect, Excel, and Smile. Our employees often tell us that their work gives them a sense of purpose because it makes a difference in the lives of clinicians and homecare staff, as well as the patients they serve. President Luke Rutledge has made it his mission to create a culture that cares - one that appreciates and takes good care of its people. As a result, being an employee of HCHB feels like being a member of a big family. We value work-life balance because we know that happy employees create happy clients. That's why Homecare Homebase offers both full and part-time career opportunities to fit life's unique demands. Every year, Homecare Homebase proudly supports numerous charitable fundraising initiatives that align with our mission of empowering exceptional care and helping others in need. Founded in 1999, Homecare Homebase is dedicated to helping our clients overcome business and technological challenges that stand in the way of clinical outcomes and operational efficiency. We work with home health and hospice organizations to tackle problems big and small. Our services are rooted in systems thinking and reach across the entire organization — from Intake to Discharge — to achieve transformative results.

Requirements

Highly organized individuals who display a strong attention to detail.
Experienced with a knowledge of Availity, MyNexus, Zirmed, Ability, and other common clearinghouses.
Analytical thinkers with strong written and verbal communication skills.
Team players who are passionate about their work and will actively contribute to a positive, collaborative environment.
1+ year experience directly completing insurance verifications and requesting authorizations in the home health and hospice space.
Ability to work any shift between 7am and 7pm and rotating Saturday schedule.

Responsibilities

Oversight of the insurance authorization process regarding case management and patient pathways.
To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system.
Review and build effective communication bridges with HCHB RCS clients at both the central and branch agency level to assist or explain exceptions.
Perform routine review of appropriate workflows and redirect workflows as needed.
Demonstrate ability to solve problems independently and at an optimal level.
Coordinate communication with clients contracting and clinical departments on payor related issues as appropriate.
Follow written and verbal communications.