Specialist-Auth Post Acute Sol
About The Position
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Are you a healthcare professional with a knack for navigating complex insurance landscapes? Do you thrive in a fast-paced environment where your expertise directly impacts patient care and revenue outcomes? If so, we want you to join our dynamic team as a Post-Acute Solutions Authorization Specialist! You’ll play a pivotal part in our pre-admission process, ensuring seamless patient transitions, supporting a positive patient experience, and maximizing reimbursement. Your role is critical in securing necessary authorizations, verifying insurance benefits, and acting as a subject matter expert for all referrals and admissions.
Requirements
- Minimum of three (3) years of experience in a healthcare support role or related field.
- Strong knowledge of healthcare technology and systems.
- Excellent communication, interpersonal, problem-solving, and leadership skills.
- Ability to work collaboratively with cross-functional teams and stakeholders.
- Strong analytical skills, with the ability to interpret data, analyze trends, and develop actionable insights.
- Proficiency in Google Suite, Microsoft Office Suite and CRM software.
- Willingness to travel nationally as needed.
Nice To Haves
- Bachelor’s degree in Healthcare Administration, Nursing, Business Administration Information Technology, or a related field preferred.
Responsibilities
- Manage all pre-admission patient authorizations, prioritizing workload to ensure timely and accurate approvals.
- Navigate complex insurance policies, communicate effectively with providers and insurance companies, and act as an escalation point for payor issues.
- Utilize your knowledge of medical terminology, diagnosis codes, and healthcare insurance policies to secure appropriate payor sources.
- Serve as a liaison between various teams, including Business Development, Nursing Centers, and Revenue Cycle Management, fostering a collaborative environment.
- Coach team members on authorization processes and assist in maximizing Managed Care census and revenue.
- Accurately document all pre-authorization activities and utilize PCC reports to ensure compliance.
Benefits
- Variable compensation plans
- Tuition, Travel, and Wireless Service Discounts
- Employee Assistance Program to support mental health
- Employee Foundation to financially assist through unforeseen hardships
- Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
- Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
- On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
- Pet Insurance
- Term and Whole Life Insurance
- Short-term Disability
- Hospital Indemnity
- Personal Accident
- Critical Illness
- Cancer Coverage
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
