Prior Authorizations Specialist

Puget Sound Home Health of King County•Tacoma, WA

5d•$23 - $28

About The Position

Join Our Team as an Insurance Prior Authorization Specialist at Puget Sound Home Health & Hospice. Benefits: $23-28 per hour, DOE Comprehensive Medical, Dental, and Vision insurance Free health concierge services FSA and HSA accounts Paid Life and AD&D insurance Paid Sick, Holidays, and PTO STD, LTD, and other voluntary insurance plans Company-wide celebrations of your great work & accomplishments Support for your professional growth and development Room for advancement AMAZING teammates & leaders who are supportive, inclusive, and fun! Why Puget Sound Home Health & Hospice? At Puget Sound Home Health & Hospice, we pride ourselves on our quality of care and ethical business practices, guided by our foundational Core Values of CAPLICO : C ustomer Second (Employee First!) A ccountability P assion for Learning L ove One Another I ntelligent Risk Taking C elebration O wnership www.pugetsoundhhh.com The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Requirements

Must have at least 1 year of insurance authorization/billing experience in a medical office, preferably home health/hospice.
Demonstrated cooperation and excellent customer service skills
Ability to multi-task and stay on task in a fast-paced office
Excellent team-oriented, verbal, and written communication skills

Nice To Haves

Experience with Home Care Home Base is strongly preferred

Responsibilities

Verify insurance coverage, including primary and secondary payors
Use UGS/DDE and EDS programs to verify Medicare/Medicaid eligibility
Obtain visit authorization via payor by providing appropriate medical records
Perform accurate data entry in patient records within HCHB
Maintain payor files with up-to-date requirements to obtain/initiate appeals for denied authorizations
Interface with contract, clinical, and office staff to foster collaboration and positive working relationships
Prepare patient co-pay estimates and notify scheduling of authorized visits
Provide excellent customer service to patients, referral sources, and community contacts with questions regarding payor prior authorizations and medical guidelines
Enter, audit, and follow up on authorized and unauthorized visits within HCHB