Insurance and Authorization Specialist

Phoenix Home Care and Hospice•Springfield, MO

2d•Onsite

About The Position

Phoenix Home Care & Hospice is adding an Insurance and Authorization specialist to our Springfield, Mo team! We're looking for a hard working, dynamic and fun individual to join our team. If you have an eye for detail, strong work ethic and are looking for an amazing office culture then Phoenix would love for you to interview us and see if we are a good fit for your career home! We believe in you & want to help you succeed! At Phoenix Home Care & Hospice, we care for people of all ages, diagnoses, & levels of care and every position in this company plays an important role in that process. We love to watch you grow personally and professionally! The specialist will work closely with the Healthcare Billing and Operation Teams to ensure patient profile, demographics and authorizations are obtained, maintained, and entered in our system with the highest quality in a timely manner.

Requirements

Strong computer profieciency
Knowledge of Medical Terminology
Data Entry Experience
Must be self-motivated
Must have past customer service experience
Previous experience working in an office/professional setting.
Ability to work independently as well as in a team
Ability to multitask and stay organized
Be able to communicate effectively and professionally with internal and external customers

Nice To Haves

Experience with Submitting Insurance Authorizations strongly preferred
Previous experience working with Home Health authorization or billing is preferred but not required

Responsibilities

Verify benefits and coverage for all new referrals with private insurance that is sent to HCP of Texas.
Obtain initial authorization for all private insurance patients for Starts of Care.
Manage the number of visits authorized and maintain additional authorizations for all patients as clinicians communicate a continued need for service.
Correspond with both the therapy contract companies and HCP clinicians regarding insurance
Send clinical requests to Med Records for immediate completion
Communicate with Intake/scheduling when an SOC or ROC can be scheduled with a clinician.
Send needed clinical documentation to insurance companies
Coordinate with DON on discharges necessary due to patient running out of insurance benefits.
Maintain Email Accounts
Assist billing with claim issues on any discrepancies.
Coordinate with coding department for required documentation
Document all communication in HCNet.
Other duties as assigned.