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Medical Insurance Verification & Authorization Specialist

LHC Group Lafayette Full-Time
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Overview

LHC Group recently broke ground on a $46 Million dollar expansion project at our home office based out of Lafayette, LA. Come GROW with us! We are a growing company that values and rewards our team members and offers opportunities for growth. Join more than 32,000 team members who help to change lives every day. 
 
LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people. 
 
As noted by independent analysts, LHC Group consistently outperforms the industry in the percentage of our locations rating four stars or more. We are helping drive better outcomes for our patients nationwide.


Additional Details

Essential Functions
 
  • Verifies insurance eligibility and benefits of prospects/ referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
  • Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with our agencies.
  • Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to agency in an accurate and timely manner.
  • Reviews and replies to branch locations urgent requests in a timely and accurate manner.
  • Obtains all authorization as needed from payer for services ordered/requested in a timely manner
  • Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
  • Serves as a liaison between the branch location and the payer on a regular basis.
  • Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
  • Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
  • Problem solves independently before referring issues to the Supervisor/Manager for resolution.
  • Performs eligibility and or similar, comparable, or related duties as may be required or assigned.


Qualifications

Formal Education: High School Diploma or equivalentExperience: 1 year Experience Requirements
  • Medical billing/collections experience required.
  • Home Health billing/collections experience desired.
Skill Requirements
  • Excellent oral and written communication skills.
  • Excellent organizational and analytical skills.
  • Basic PC skills including PC based applications (MS Word, Excel).
  • Mathematical aptitude.
 
 
IND0919
 
 
 
 

Recommended skills

Insurance
Billing
Authorization (Medical)
Collections
Medical Billing And Coding

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Medical Insurance Verification & Authorization Specialist
Estimated Salary: $40K
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Job ID: 2019-49478

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At LHC Group we appreciate the value of trained professionals who work within the local community and know their patients. That’s why we work with the nurses, therapists and aides who have provided quality care through local hospitals and health care agencies for years. By combining a dynamic, clinically driven operational model, an efficient management team, a high quality hometown medical staff, we are able to offer a comprehensive health care package which puts the patient’s needs first.

We have spent years perfecting what we see as the only way to do business in the industry. As a result, patients, their physicians, and family members alike benefit from the simplicity that our expertise brings to the table. Aside from keeping the needs of the patient first, we also keep both the physician and family involved and informed every step of the way. We consider these channels of communication an essential part of who we are.

Our nurses, aides and therapists can deliver non-emergency medical care to homebound patients of all ages who choose to receive quality health care in the comfort of their own homes.

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