Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply Now
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
I2n4yj6b0svy4vpjzxc

Authorization Specialist

Elara Caring Addison Full-Time
Apply Now

The Authorization Specialist accurately and effectively coordinates staffing and patient scheduling duties for the agency as well as interacts with the billing department by obtaining insurance authorizations, and verifying eligibility and benefits as needed.



Key Accountabilities


 


Position Duties and Responsibilities:  Component Proportion 80%


 


  • Accurately enters patient episode schedules and changes/updates into data base and notifies appropriate staff to these changes/updates. Verifies early/late episodes as well as re-verifies the Insurance policy number for the patient prior to case conference.
  • Arranges for staffing of new referrals utilizing appropriate clinical staff based on discipline and geographical area. Assist with verifying patient benefits and inputs into the database as back up.


  • Effectively provides administrative management of commercial insurance patients (benefit verification, reauthorization, scheduling).
  • Tracks patient status, with assistance from the Marketing team, until patient is admitted.
  • Other duties as assigned.


 


Reporting/Planning:  Component Proportion 20%


  • Provides reports/census and updated status at case conference.
  • Reviews the staff weekly schedules for appropriateness and notifies the ADON of any scheduling issues/concerns.
  • Distributes weekly schedule to staff members every Friday as needed.
  • Attends weekly case conferences and follows up with scheduling issues/concerns.
  • Promotes effective, positive and respectful communication to patients, staff members, other healthcare professionals and referral sources.
  • Promotes agency vision and administrative policies by maintaining a high level of ethical standards.
  • Presents a professional image of self and agency as outlined in the employee handbook.
  • Other duties/projects as assigned.



Education, Previous Work Experience, Skills/Abilities and General Requirements for position


 


Education/Experience


  • Must have a high school education or equivalent.
  • Working knowledge of Medicare/Medicaid home health care benefits, rules and regulations.
  • Minimum of one year general office experience.

 


Skills/Abilities


·         Some knowledge of medical terminology preferred.


·         Have excellent knowledge of computers.


·         Have the ability to motivate others in a positive manner.


·         Have good verbal and written communication skills.


·         Possess well developed interpersonal skills.


·         Have the ability to organize work and schedule effectively.


·         Have the ability to think analytically.


 


Other


  • Must have satisfactory references from previous employers.
  • Must be able to pass a criminal history check.
  • Must be able to pass a random drug test.
  • Must have a dependable vehicle and a valid driver’s license.

Recommended skills

Authorization (Medical)
Scheduling
Medicaid
Medicare
Interpersonal Skills
Communication

Location

CareerBuilder Estimated Salary

Based on Job Title, Location and Skills
$50K
Below Avg. Average Above Avg.

Career Path

See the next step in your career
Authorization Specialist
Estimated Salary: $40K
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.