Authorization Specialist

Symbii Home Health and Hospice-Layton • Layton, UT

9d

About The Position

The Authorization Specialist obtains insurance verification on patient admissions and recertification’s and works with Billing and Patient Care Staff to resolve issues. 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.

Requirements

• Strong written and oral communication skills in person and over the phone.
• Excellent customer service skills
• Strong team skills
• Organized
• Flexible—responds well to changing priorities and conditions.
• Technical aptitude to know or learn and master the agency’s clinical software.

Responsibilities

• Contact insurance company/case managers to verify patient insurance coverage and obtain information concerning the extent of benefits.
• Utilize the UGS/DDE and EDS computer programs to verify eligibility for Medicare and Medicaid, and thoroughly research any possible secondary payers.
• Prepare insurance verification form with data such as names of insurance company and policyholder and policy number.
• Accurately enters insurance information into Homecare Homebase (HCHB).
• Prepare estimates of patient copayment for clinician to deliver to patient and notifies clinician of preauthorized visits.
• Enters visit authorizations into HCHB computer system and maintains an audit system for additional visit authorization needs.
• Reports unauthorized visits to supervisor when applicable.
• Maintains audit system for tracking True Blue authorizations for recertification.
• Maintains audit system for tracking hospice recertification’s.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 51-100 employees