Authorizations Coordinator - Home Health (Part-Time)

Valley Regional Home Health is please to announce the immediate opening of a part-time Authorizations Coordinator position. This position would be 8:00am - 5:00pm, with a one-hour lunch, on Tuesdays, Wednesdays, and Thursdays at the Valley Regional office. Candidates who are unable to work this schedule will not be considered for hire.

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.

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.
• Answering incoming phone calls from either patients or field clinicians.

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.
• Knowledge of insurance processes, especially Kaiser HMO plans.
• Able to use IBM-compatible systems and equipment.
• Attention to detail, great customer service, and teamwork are all daily requirements of the position.
• Basic knowledge of Microsoft platforms such as Excel, Outlook, Word, etc.
• Dependable, reliable, and ready to join a high-energy team of great people!
• Is a high school graduate or equivalent, two years college preferred.

Salary : $21 - $22