Prior Authorization Specialist

Pennant Group•Tacoma, WA

1d•$20 - $28•Remote

About The Position

Join Our Team as a Remote Insurance Authorization Specialist at Puget Sound Home Health & Hospice. All remote candidates MUST have Home Health or Hospice agency experience AND have HCHB experience to be considered. If your resume doesn't reflect this please send a message indicating this experience or your application will be rejected. Must be available to work business hours , 8 am to 5 pm Pacific Standard Time. We are not able to hire in the following states: Maine, New York, Massachusetts, Connecticut, New Hampshire, and Hawaii. For those who reside locally, we are willing to train in our Tacoma, WA office with the required one year of insurance authorization experience regardless of industry. Why Puget Sound Home Health & Hospice? At Puget Sound Home Health & Hospice, we pride ourselves on our quality of care and ethical business practices, guided by our foundational Core Values of CAPLICO: Customer Second (Employee First!) Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebration Ownership www.pugetsoundhhh.com The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. We are building Washington’s premier Home Healthcare agency through exceptional human beings, innovative processes, and accountability to patient care. We are the leading Home Health provider in Pierce County, Washington. For over 25 years, we've been bringing quality healthcare home. Our team is committed to providing "life changing service" to our patients and our community through collaboration with our community partners and local hospitals. We aspire to provide quality care to our patients and have received a Four Star Quality Rating from Medicare and Medicaid services, as well as the National Quality Approval Seal awarded by the Joint Commission. We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.

Requirements

At least 1 year of insurance authorization/billing experience in a medical office, preferably home health/hospice. Must have this experience if remote.
Demonstrated cooperation and excellent customer service skills
Ability to multi-task and stay on task in a fast-paced office
Excellent team-oriented, verbal, and written communication skills

Nice To Haves

Experience with Home Care Home Base is strongly preferred

Responsibilities

Verify insurance coverage, including primary and secondary payors
Use UGS/DDE and EDS programs to verify Medicare/Medicaid eligibility
Obtain visit authorization via payor by providing appropriate medical records
Perform accurate data entry in patient records within HCHB
Maintain payor files with up-to-date requirements to obtain/initiate appeals for denied authorizations
Interface with contract, clinical, and office staff to foster collaboration and positive working relationships
Prepare patient co-pay estimates and notify scheduling of authorized visits
Provide excellent customer service to patients, referral sources, and community contacts with questions regarding payor prior authorizations and medical guidelines
Enter, audit, and follow up on authorized and unauthorized visits within HCHB