Insurance Authorization Specialist

KidsCare Home Health•Dallas, TX

6d•Hybrid

About The Position

KidsCare Home Health is seeking a dedicated Insurance Authorization Specialist to join their award-winning team. This role is crucial in obtaining and managing insurance authorizations for physician-ordered services, ensuring patients receive necessary care. The specialist will work with various payer sources, monitor authorization expirations, and maintain accurate records. KidsCare emphasizes a C.A.R.E. culture and offers a supportive work environment with a comprehensive benefits package and a hybrid work arrangement.

Requirements

High school diploma or general education degree (GED).
Minimum of one (1) year of experience.
Bilingual English/Spanish with an ability to read, write and speak both languages fluently.
Ability to carry out detailed but involved written instructions, able to problem solve with few variables.
Ability to communicate clearly, written and verbally.
Adaptability and self-motivated.
Microsoft Office and database activity.
Handle multiple tasks simultaneously.

Responsibilities

Maintain authorization workflows and the authorization roster.
Contact payer source for outstanding authorizations.
Process original authorization as well as ensure timely review and updating for reauthorization.
Complete scan and send TP2 forms and all other reauthorization documentation to the ordering physician and payer source.
Provide timely follow up.
Schedule TRC evaluations with patient families and Clinical Manager.
Process payer changes timely.
Ensure timely processing of discharges in the organization’s healthcare software system.
Assist with the processing of incoming referrals as needed.
Comply with all company policies, practices, and procedures.
Other duties as assigned.