Skilled homecare agency with prior auth experience

University Home Care Inc•Livonia, MI

2d•$1,040 - $1,560•Onsite

About The Position

University Home Care Inc is seeking a skilled homecare agency professional with experience in prior authorizations to support our team in Livonia, MI. This role involves managing and coordinating homecare scheduling of clinicians, ensuring accurate frequencies, verifying authorizations eligibility, handling prior authorizations, and working with insurance processes to facilitate smooth and timely patient care.

Requirements

Experience with homecare agency scheduling and clinician frequency management.
Knowledge of prior authorization processes and insurance eligibility verification.
Strong organizational and communication skills.
Ability to manage multiple tasks and work effectively with various stakeholders.
Proficiency with relevant scheduling and healthcare management software is preferred.

Responsibilities

Coordinate the scheduling of homecare clinicians according to patient care plans and authorization guidelines.
Verify patient insurance eligibility and authorization status to ensure compliance with coverage requirements.
Manage prior authorization requests and follow-up communications with insurance providers.
Maintain accurate records of clinician visit frequencies and authorization documentation.
Collaborate with clinicians, patients, and insurance companies to resolve any scheduling or authorization issues promptly.
Ensure all care services are delivered in compliance with company policies and insurance regulations.