Jobs · Healthcare

Authorization & Eligibility Clerk (Hospice) Remote

Addus HomeCare · Frisco, TX · 1 wk ago
Healthcare$18–$21/hrFull-time

Position Summary

The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health & Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received.

HCHB experience preferred but not required. Hospice Commercial authorization experience required.

Schedule

  • Full-time (Remote)
  • Mondays through Fridays - 40 hours
  • Some overtime and on-call rotation evenings until 7pm
  • Weekends - 8am to 7pm

Pay

  • $18 to $21 hourly

Benefits

  • Best Medical, Dental and Vision Benefits
  • Continued Education PTO Plan
  • Retail Planning
  • Retirement Planning
  • Life Insurance
  • Employee discounts
  • Essential Duties

    • Track and request all authorizations for private insurance
    • Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager
    • Disseminate accurate information regarding authorizations to staff
    • Minimize denied authorizations
    • Schedule authorizations upon receipt
    • Enter staff schedules for private pay clients weekly
    • Verify insurance eligibility of clients on a monthly basis
    • Report unauthorized visits monthly
    • Adhere to work schedule and maintain good punctuality and attendance record
    • Adhere to dress code
    • Perform any other related duties and responsibilities deemed necessary by Supervisor

    Position Requirements & Competencies

    • Insurance experience preferred - running/reading eligs, requesting authorizations
    • HCHB experience preferred
    • Home health & Hospice experience required
    • Possess knowledge of medical terminology and/or possess general medical background
    • Able to work with little supervision and make appropriate judgments
    • Excellent organizational skills, and interpersonal skills
    • Must be dependable, tactful, and able to follow orders
    • Demonstrate ability to manage multiple deadlines
    • Must have advanced computer skills
    • Must have excellent customer service skills
    • Must be proficient in Excel and Microsoft Word

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