I. JOB SUMMARY
The authorization specialist is responsible for insurance verification for each new patient. Insurance Verification includes accurate documentation and entering appropriate insurance; initiating authorizations and performing Key User duties with minimal errors.
II. DUTIES & RESPONSIBILITIES
1. Resolves customer billing and payment inquires as needed.
2. Discuss payment arrangement options and provide the share of costs for Home Health Services.
3. Responsible for accurately documenting the patient's insurance plan benefits and required authorizations.
4. Coordinates with admission and scheduling departments to ensure timely patient care.
5. Assists in gathering necessary reports, statistics, outcomes for the department and agency as needed.
6. Provides timely and effective customer service to patients and their representatives as needed.
7. Acts as a part of the patient care team by supporting the clinical staff regarding cost and benefits associated with Home Health Services.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
1. One year minimum of experience in customer service in a healthcare/ medical office environment.
2. Knowledge of insurance terminology for commercial and government health plans and general knowledge of billing guidelines.
3. Preferably proficient in HCHB .
4. Excellent communication and customer service skills.
5. Strong organizational and analytical skills; innovative with ability to identify and solve problems.
6. Able to adapt, prioritize and meet deadlines.
Pay Range: $18.00-$25.00/hr
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.