What are the responsibilities and job description for the Authorizations Specialist position at True Care?
Salary: $22 - $24 per hourCompany Overview: True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients sets True Care apart. We work with our clients individually to ensure their satisfaction and comfort with the paraprofessionals caring for them. It is our mission to continue to raise the standard of homecare services. We are committed to providing the highest level of care by maintaining excellence in staff, procedures, and responsiveness. The True Care team is Healthcare professionals who are committed to helping our patients and caregivers experience the most excellent care.Position Title: Authorizations SpecialistLocation: Full-time Monday-Friday 9 am-5 pm onsite in Brooklyn, NYPosition summary: The Authorizations Specialist handles all aspects of authorizations for patient services and is the liaison between the company and contracted partners. He/she is responsible for ensuring data received from our contracts is accurate, verified and then entered into the system. The Authorizations Specialist ensures continuity of service by acquiring authorizations as needed and confirming eligibility for active patients under all lines of business.Key Responsibilities:Responsible for reviewing insurance authorization forms for services provided to clients for correctionsMonitor and track patient authorizations, informing supervisor of any expired datesReview and audit all authorizations for appropriate codes and units before entering into systemEnter all confirmed authorizations into HHAeXchange and notify appropriate departments to continue with scheduling servicesRoutinely verify insurance eligibility on contract websites and portalsRoutinely verify Medicaid eligibility on ePACESFollow processes and notify appropriate teams regarding lost eligibility or disenrolled membersRun reports on upcoming expiring authorizations and follow processes to get increases for patient servicesFollow processes for paperless systems including E-fax data tracking and scanning all documentation to centralized locationParticipate in data retrieval for claims appeals and requests for paymentLiaison between the insurance companies and the agencyMaintain appropriate logs or reports according to company standardsProvide superior customer service through phone/fax management skills, computer documentation of codes and information for claimsRequired Qualifications:High School Graduate/ GED equivalentKnowledgeable of basic office software technology; ePACES, and eligibility verificationMust be able to communicate professionally over the phone, in person and through email communication1-2 years of Homecare experience is a plusExperience in HHAeXchange is requiredAble to successfully work well in a team and also independently on certain projects and tasksBenefits:Health, dental, and vision insurance401(k) with company matchPTO and paid holidaysProfessional development opportunitiesMission-driven work in an innovative healthcare space
Salary : $22 - $24