Insurance Authorization Specialist

About the role

KidsCare Home Health is a multi-award-winning organization that was most recently recognized as a 2021 U.S. Top Workplace. We are seeking dedicated professionals who will embrace our core values and contribute to our C.A.R.E. culture.

Responsibilities

• Maintain authorization workflows and the authorization roster.
• Contact payer source for outstanding authorizations.
• Process original authorization as well as ensure timely review and updating for reauthorization.
• Complete scan and send TP2 forms and all other reauthorization documentation to the ordering physician and payer source.
• Provide timely follow up.
• Schedule TRC evaluations with patient families and Clinical Manager.
• Process payer changes timely.
• Ensure timely processing of discharges in the organization’s healthcare software system.
• Assist with the processing of incoming referrals as needed.
• Comply with all company policies, practices, and procedures.

Qualifications

• High school diploma or general education degree (GED).
• Minimum of one (1) year of experience.
• Bilingual English/Spanish with an ability to read, write and speak both languages fluently.
• Ability to carry out detailed but involved written instructions, able to problem solve with few variables.
• Ability to communicate clearly, written and verbally.
• Adaptability and self-motivated.
• Microsoft Office and database activity.
• Handle multiple tasks simultaneously.

Skills

• Ability to carry out detailed but involved written instructions, able to problem solve with few variables.
• Ability to communicate clearly, written and verbally.
• Adaptability and self-motivated.
• Microsoft Office and database activity.
• Handle multiple tasks simultaneously.

Benefits

• Full benefits package including health, dental, and vision insurance.
• Paid time off.
• 401K.
• Tuition reimbursement.
• A hybrid or blended work arrangement (providing balance between in office and work from home).