Insurance Preauthorization Specialist

Job Details

NHC HomeCare TN Regional is looking for an Insurance Preauthorization Specialist to join their team in Murfreesboro, TN.

About the Role

Responsible for verifying and obtaining authorizations from insurance companies under the plan coverage for all appropriate patients. Communicates with patients regarding updated insurance information where applicable and coordinates the information with clinicians.

Responsibilities

• Receives, researches and corrects patient authorization information
• Enters all authorizations into the NHC computer system, in a timely manner
• Communicates and works with clinical staff on authorizations on all patients
• Works with and assists the billing department in researching and resolving all claims
• Keeps management informed regarding changes in authorization process
• Establishes and maintains a professional relationship with all staff in order to resolve problems and increase knowledge of authorization management
• Makes photocopies for the corporate packet
• Educates / communicates with agency staff
• As necessary, works improvement plan with leadership to raise work quality standards
• Attends appropriate workshops to enhance performance
• Performs miscellaneous typing, data entry, filing, copying duties
• Other duties as assigned

Qualifications

• High School Diploma
• One year business/healthcare education or equivalent experience required
• One year experience working in a group practice or healthcare system preferred
• Experience in computer data entry, accounting, related field, or general office work desirable
• Understanding of home care operations related to patient intake and ongoing care
• Able to prioritize tasks and duties
• Able to provide Excellent Customer Service