Home Health Prior Authorization Specialist

Alternate Solutions Health Network•Lincoln, NE

2d•Onsite

About The Position

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Monday - Friday, 8:15am - 5pm This position is located in our Kettering office HOW YOU'LL MAKE A DIFFERENCE: 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. WHAT WE OFFER: We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates receive paid time off and may participate in the 401K, if they choose. Historically the company has matched 401K contributions which helps build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a robust Employee Assistance Program. HOW YOU'LL WORK: 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.
1 year of billing insurance experience in a health care environment preferred.
Excellent communicator with a positive attitude.
Patience is a virtue when working with patients, families, physicians, and coworkers.
Attention to detail is critical, as is being observant and following directions.
Proficiency in Microsoft Excel, Word, and Outlook.
Ability to learn new systems.
Problem solving and create solutions to drive to a course of action.
Capable of all physical demands.

Nice To Haves

Associates Degree preferred.
Experience with Peachtree, HCHB and EPIC is preferred.

Responsibilities

Customer Service: Communicates with patients, employees and vendors regarding services. Assists patients, their families and co-workers in understanding authorizations and eligibility
Operations: Checks eligibility for all payor types, assumes responsibility for all patient authorizations. Collects and records accurate patient information.
Compliance: Understands and practices agency policies and procedures and continually improves practices. Able to follow all legal rules and regulations