Full-Time Home Health Patient Authorization Coordinator
Office Location:
Signature Healthcare at Home
7632 SW Durham Road, Suite 100
Tigard, Oregon 97224
Work Schedule: Monday through Friday, 8 to 5
Please apply on line for this position here: https://signature-careers.com
Benefits Offered:
Up to 4 weeks of PTO per year
6 paid holidays (Memorial Day, Labor Day, 4 th of July, Thanksgiving, Christmas and New Years Day)
Accrued Sick Leave Bucket, up to 8 days per year
401K Plan goes into effect 90 days of employment, matching program
Benefits; Medical, Dental, Vision, etc.
Continuing Education Reimbursement Program and higher education reimbursement
Fitness/Physical Activity Reimbursement
Mental Health Wellness Webinars
Employee Referral Bonus Program
MedBridge Account for Continuing and Compliance Education
Overview of Position:
Provides insurance authorization expertise to assure timely and accurate billing of managed care claims requiring prior authorization for home care services.
RESPONSIBILITIES
Secure authorizations for all managed care clients in a timely manner to facilitate billing and maximize reimbursement.
Track all authorizations using the Electronic Medical Records (EMR) for authorization information, as well as status and outcome of all requests to aide in the alleviation of bad debt.
Communicate timely with clinical staff and third-party payers regarding the medical necessity for authorizations for home care services and reminders regarding pending authorization expirations.
Communicate with scheduling coordinators, clinical staff and managers/supervisors regarding inquiries/referrals that are pending awaiting authorization.
Verify the accuracy of the authorization information in the EMR as entered by other agency staff.
Work closely with billing and accounting staff to facilitate timely and accurate billing to prevent denials resulting in bad debt.
Review clinical documentation and aid in the appeals process when claims are denied.
Other duties as assigned.
Supports mission, values and goals of Signature.
QUALIFICATIONS
High School diploma or equivalent
Minimum two years' experience in administrative position in healthcare setting
Experience with medical/insurance billing, insurance authorizations and or medical claims processing
Knowledge and training home health and or hospice services, medical background and/or insurance authorization experience preferred
Proficient in computer/data entry a must
Able to self-manage and work with minimal supervision
Possess strong problem solving and organizational skills
Exceptional interpersonal skills both over the phone and in person
Strong customer service attitude
Willingness to help other team members to complete special projects or tasks
Knowledge of IT systems and general computer skills
Please apply on line for this position here: https://signature-careers.com
Or contact:
LaDawn Fronapel
Sr. Talent Acquisition Specialist
Signature Healthcare at Home E: ladawn.fronapel@sighch.com C: 503-756-5453
Signature Healthcare at Home is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.