Authorizations Specialist

Concordia Lutheran Ministries and Affiliates•Winfield Township, PA

10d•Onsite

About The Position

Concordia Visiting Nurses is a Medicare-certified, state licensed, Medicaid approved home health agency operating in nine Western Pennsylvania counties. For well over a decade, Concordia Visiting Nurses has provided high-quality skilled nursing, palliative care, and a variety of therapy services to our patients. Our goal is to deliver quality home health services, in good faith, to those who entrust themselves to our care and to minister to the unique needs of each individual with respect, dignity, and compassion. We strive to hire excellent people at Concordia - and keep them as well! Are you looking for a rewarding opportunity in the healthcare field? Concordia is seeking a dedicated Authorization Specialist to manage insurance authorizations for our high-volume home health agencies and hospice agencies. In this fast-paced role, you will be responsible for obtaining prior and subsequent authorizations for services from various payers, ensuring smooth operations and excellent service delivery. At Concordia Visiting Nurses, we are committed to enhancing the well-being of our patients through high-quality home health services. Our mission is to provide compassionate care that empowers individuals to live healthier lives in the comfort of their homes. Join our dedicated team and be part of a company that values integrity, teamwork, and excellence in healthcare. What We’re Looking for in an Authorization Specialist? Exceptional Customer Service Skills: You should be able to provide outstanding support to clients and colleagues alike. Detail-Oriented: Accuracy is key in managing authorizations, so attention to detail is essential. Strong Keyboarding Skills: Proficiency in typing is important for efficient data entry and communication. Ability to Work Independently: You should be self-motivated and capable of managing your workload effectively Experience with health insurance processes: familiarity with medical terminology is recommended Proficiency in Microsoft Office: previous experience using Excel is required. Why Work with Us as an Authorization Specialist? Growth Opportunities: We offer excellent career advancement potential. Education Assistance Programs: Benefit from tuition reimbursement or fully-paid tuition—your choice! Comprehensive Benefits: Enjoy top-tier benefits to support your well-being. 403(b) Retirement Savings Plan: Take advantage of our unparalleled retirement savings options. Generous Paid Time Off: We value work-life balance and provide ample time off. What you will do as an Authorization Specialist: Engage with payer sources to discuss clinical documentation and secure necessary authorizations. Collaborate with clinicians to gather clinical documentation required for authorization. Maintain accurate records and tracking of all authorizations. Conduct daily reviews of relevant reports. This is a full-time position, Monday through Friday, located at our Concordia Cabot campus. If you’re ready to take the next step in your career and make a difference in healthcare, we’d love to hear from you! Concordia Visiting Nurses is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. EOE

Requirements

Exceptional Customer Service Skills: You should be able to provide outstanding support to clients and colleagues alike.
Detail-Oriented: Accuracy is key in managing authorizations, so attention to detail is essential.
Strong Keyboarding Skills: Proficiency in typing is important for efficient data entry and communication.
Ability to Work Independently: You should be self-motivated and capable of managing your workload effectively
Proficiency in Microsoft Office: previous experience using Excel is required.

Nice To Haves

Experience with health insurance processes: familiarity with medical terminology is recommended

Responsibilities

Engage with payer sources to discuss clinical documentation and secure necessary authorizations.
Collaborate with clinicians to gather clinical documentation required for authorization.
Maintain accurate records and tracking of all authorizations.
Conduct daily reviews of relevant reports.