What are the responsibilities and job description for the Insurance Authorization Clerk position at A Pineywoods Home Health Care Inc?
Job Summary:
Primary responsibility is to verify insurance benefits, obtain and maintain authorizations, and enter into database system.
Job Qualifications:
Education: High school graduate or equivalent (college preferred).
Experience: One year of experience with insurance background or clinical background.
Skills: Excellent phone, computer, interpersonal, and organizational skills required. Preferred a knowledge of medical terminology. The ability to establish and maintain a professional rapport with insurance company
representatives.
Transportation: Reliable transportation and valid auto liability insurance
Essential Functions:
Ensures accurate entry, access, and retrieval of database information.
Verifies insurance benefits and obtains authorization for all payers.
Pre-certifies initial insurance coverage. Follows up to maintain required re-certification coverage authorization; enters patient information regarding authorization and coverage approval.
Performs special projects and other duties as requested.
Assists with the billing, payroll and filing procedures, as needed.
Assists the intake team in processing referral if needed.
Assist with after hours processing of referrals to ensure timely initiation of care.
Promotes the Agency’s philosophy and mission by presenting a positive image to patients, families, physicians, and community agencies.
About A Pineywoods Home Health Care Inc
For over 30 years, the Pineywoods family of healthcare companies built its reputation on delivering care to tens of thousands of elderly patients across East Texas. We have grown by investing in thousands of healthcare professionals — skilled nurses, therapists, social workers, and personal attendants — who show up every day to serve those who need it most. In recent years, the Naranjo family deepened our commitment to our employees and our community by bringing in the next generation of technology, leadership, and healthcare resources. We are committed to being the best family of post-acute healthcare organizations for our patients, delivering the highest quality of care, and serving as the employer of choice for the dedicated professionals who make that care possible.