Authorization and Benefit Clerk - ProHealth Home Health & Hospice (Centre, AL)

About the role

The Verification/Auth Specialist is responsible for various office duties including verifying accepted payers, obtaining authorization for payers requiring it, charting, making phone calls, and patient scheduling.

Responsibilities

• Verify all accepted payers
• Obtain authorization for all payers requiring authorization
• Chart
• Make phone calls and manage patient scheduling
• Greet intake/clinical staff and take initial information, including contact, referral, and insurance information
• Manage and maintain professional relationships and communication with internal and external customers
• Obtain authorization in a timely manner for all assigned payers requiring authorization
• Follow up on pending/outstanding authorizations in a timely manner
• Maintain office space and reception areas
• Work with billing on follow-up work needed for retro/pre-cert, billing issues, and/or authorization denials
• Oversee office and medical supply inventories
• Manage email and mail traffic in a timely manner
• Maintain forms and packages as directed by supervisor
• Perform other duties as assigned

Requirements

• H.S. Diploma or GED
• Previous experience with insurance verification/authorization preferred
• Prior scheduling experience preferred
• Computer skills including but not limited to MS Office, Excel, Word, Outlook, and Scheduling programs
• Interpersonal, organizational, and communication skills
• Ability to carry out directions, read, and write
• Maturity and ability to deal effectively with the demands of the job
• Basic medical terminology