Revenue Cycle Authorizations Specialist
About The Position
The Revenue Cycle Authorizations Specialist I obtains and monitors initial and renewal authorizations in a timely manner. The role collaborates with internal teams, external county workers, and case managers to ensure accurate client information is included on agreements and properly tracked. The ideal candidate is familiar with prior authorizations or billing claims with Minnesota Medical Assistance (MA) Electronic Remittances, and has working knowledge of Minnesota PMAP and its associated service agreement types. The position monitors authorizations and related revenue cycle activities using designated software systems and reporting tools. It works with intake, case service, program, and revenue cycle billing teams to secure current authorizations, resolve pending claims and service agreement issues, and support timely reimbursement. The role also provides customer service on coverage and benefit inquiries and performs additional revenue cycle projects and duties as needed. Accra describes its mission as improving lives through individualized homecare services and support for people living at home. The organization says it fosters a respectful and inclusive environment where employees are encouraged to bring their whole selves to work. The role requires the ability to work in a fast-paced virtual business environment and to meet Accra’s remote work experience requirements.
Requirements
- Associate degree or similar education and experience required.
- Proven knowledge of and experience with Revenue Cycle or Practice Management software required.
- Proficiency with Microsoft Office, including Word and Excel.
- Proficiency with Microsoft Outlook and Teams.
- Understanding of basic HIPAA regulations.
- General knowledge of CPT and ICD-10 coding principles and guidelines as related to authorizations.
- Excellent interpersonal and communication skills and the ability to collaborate effectively.
- Strong organizational skills and attention to detail.
- Ability to work in a fast-paced, virtual business environment.
- Ability to meet metrics and key performance indicators applicable to general RCM benchmarks.
- Ability to meet Accra remote work experience requirements.
- Ability to work independently at times with little supervision.
Nice To Haves
- CFSS, PCA, 245D, and/or Home Health Care waiver billing experience.
- Familiarity with MNITS, Availity, and clearinghouse usage.
- Previous remote work experience.
- Familiarity with the prior authorization process or experience billing claims with Minnesota Medical Assistance (MA) Electronic Remittances.
- Working knowledge of the Minnesota PMAP program and its service agreement types.
Responsibilities
- Monitor, track, communicate, and archive authorizations using Accra’s designated software systems and reporting.
- Track current authorizations and ensure they are updated before service agreement expiration dates.
- Identify documentation needed for service agreement requests and work with intake and case service teams to obtain current and correct authorizations.
- Check eligibility to determine current client status.
- Use Outlook to monitor and track incoming Service Agreements and distribute them according to established protocols.
- Collaborate with program and revenue cycle billing team members to review and resolve pending claims to support timely reimbursement.
- Research and resolve service agreement issues and report missing authorizations.
- Understand and report apparent overspending in utilization.
- Provide customer service to internal and external customers and respond to questions and issues about coverage, pre-authorizations, forms, and benefits.
- Use databases and software systems to input, retrieve, update, and monitor revenue cycle activities, including eligibility, discharge, authorizations, patient accounts, claims activities, and denials associated with the authorization process.
- Complete additional revenue cycle projects and job duties as needed.
Benefits
- Schedules designed to support work/life balance.
- Generous paid time off, including an additional paid self-care day and a separate paid community volunteering day.
- Free wellbeing programs.
- HSA and FSA plans.
- 401(k) retirement plan.
- Medical, dental, and vision coverage for full-time employees.
- Training and growth opportunities for career development.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
