Authorization Coordinator- Cincinnati, OH

Description

What we offer our Authorization Coordinator:

$20 per hour

Full-time (FT) schedule, 8:30 am - 5pm, M-F

Daily Pay option available

Excited to hear more? Apply below:

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.

As an Authorization Coordinator, you will:

Act as a contact telephone liaison person interfacing with referral sources, outside agencies, health professionals and field staff

Receive and coordinate all incoming calls, providing patients/clients and referral sources with basic information to assist in accessing appropriate services

Communicate with patient/client and family regarding arrangements for the initiation of care/services

Complete intake screening, including obtaining, documenting, and analyzing all required information to make a preliminary admission decision

Receive and log referrals. Prepare reports and responses to inquiries. Provide telephonic contact and system data entry for customers seeking care/services

Where permitted by law, receive verbal orders from physicians to initiate care/services

Collect and enter customer information into the management information system

Analyze and verifies patient insurance coverage and determines payer priority for all potential insurance. Communicates coverage information utilizing agency software

Obtain prior insurance authorization for home care services as referred by Intake personnel, sales personnel, or other agency personnel

Review requests made by clinicians and other authorized medical staff for additional authorized units under established guidelines

Initiate prior and post authorization requests via fax transmission, online submission, or telephone contact

Ensure that all prior authorizations and ongoing authorizations documentation, databases and records are maintained clearly, accurately within a timely manner, and meets HIPAA requirements

Adhere to the established criteria and timeframes for processing urgent authorization or referral requests

Ensure that any changes made to the authorization requests or referral forms are submitted directly from the payer via electronically or by fax

Conduct research on authorization requests and handles inquires including researching history for duplications and considerations of authorization limits

To qualify as an Authorization Coordinator with us, you will need:

Education: Associate degree or higher preferred

1+ year Medical Terminology experience

Strong problem-solving skills and a high attention to detail

Comfort working in a fast-paced environment and under minimal supervision

Proficient in common office equipment, including Windows PCs with Microsoft Office Suite, Copy/Fax machines, phone systems, etc.

At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

#RMC