Home Health Prior Authorization Specialist

Alternate Solutions Health Network•Kettering, OH

1d•Onsite

About The Position

At Alternate Solutions Health Network, we care for patients where they spend the majority of their time – in their homes. We partner with health systems, jointly running home health and hospice agencies that use their brand to ensure each patient has a well-coordinated care plan. 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 for patients receiving post-acute health care services.

Requirements

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

Nice To Haves

Associates Degree preferred.
1 year of billing insurance experience in a health care environment preferred.
Experience with Peachtree, HCHB and EPIC is preferred.

Responsibilities

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.