Insurance Authorization Specialist

KidsCare Home Health•Addison, TX

2d•Hybrid

About The Position

Pursue your passion and fulfill your purpose at KidsCare! KidsCare Home Health is a multi-award-winning organization who was most recently recognized as a 2021 U.S. Top Workplace. As an award-winning organization, we are looking for dedicated professionals who will embrace the KidsCare core values. At KidsCare we desire to work with individuals who embody the values of the organization which together create our C.A.R.E. culture. In return we offer a full benefits package to include health, dental, and vision insurance, paid time off, 401K, tuition reimbursement, and a hybrid or blended work arrangement (providing balance between in office and work from home).

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

Works with multiple payer sources and obtains insurance authorization for physician ordered services.
Monitoring and recertifying patient insurance authorization prior to the current expiration date.
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.