Valley Regional Home Health & Hospice / Heritage... is Hiring an Insurance Authorization - Home Health Near Fresno, CA
Company Overview: The founders of Valley Regional Home Health Inc. stem from almost 15 years of experience in the healthcare industry. As clinical professionals, our background in the healthcare industry centers around compassionate care, respect, dependability, professionalism, and the willingness to help others. Our vision to provide excellent and timely patient care is encompassed with a team of clinical professionals, who meet the same professional standards and principles as the founders of Valley Regional Home Health Inc. We strive to exceed expectations and become a leader in home health care. Our organizational skills, leadership, dedication, and knowledge of healthcare help in our pursuit of becoming the gold standard of home health agencies. Benefits: (*please note, to qualify for benefits you must meet company policies):
Health, Dental, Vision, and employer contributions to premiums
Life Insurance
401k and matching 401k
Disability, Critical Illness, Accident Insurance, and more
PTO Vacation accruals
Paid Birthday Leave
Holiday Pay
Sick Pay
Job Description Summary The Authorization Coordinator is responsible for managing all aspects of the authorization process including responding to clinician requests in a timely manner, collecting appropriate patient information from clinicians, working closely with insurance companies for approvals and tracking authorizations in process for timely completion. Effectively managing this process is vital to the flow of patient care. Essential Job Functions/Responsibilities
Draft HMO authorization requests and submit to appropriate parties.
Track and follow-up on pending authorizations & orders.
Authorizations received are compared to authorizations sent out, any authorizations not returned in 1-2 days are re-sent.
Follow up with clinicians if addition information is needed to process the authorization request.
Work closely with scheduling to ensure authorized visits are being completed.
Communicate with Clinical Mangers regarding approval of new requests.
Maintain complex electronic patient records databases (EMR).
Handle high volume multi-line phones. Follow-Up calls to/from clinicians and insurance companies.
Administrative support for Operations team and office as needed.
Assisting company Officers with various projects (ranging from creating detailed Excel reports to making follow-up calls to MD offices).
Extensive data entry.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications
At least two years experience in health care, preferably in home health care.
Able to use IBM-compatible systems and equipment.
Is a high school graduate or equivalent, two years college preferred.