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

Overview

Job responsibilities for a Verification/Authorization Specialist include verifying accepted payers, obtaining authorizations for payers that require authorization, charting, phone calls, and patient scheduling. These support professionals are typically the first point of contact with intake/clinical staff, greeting them and collecting initial information, which may include contact, referral, and insurance information.

• Verify all payers assigned in a timely manner.
• Obtain authorization in a timely manner for all assigned payers that require authorization.
• Follow up on any pending/outstanding authorization in a timely manner.
• Verify and manage payer communications and ensure professional relationships with internal and external customers.
• 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 timely.
• Maintain forms and packages as directed by supervisor.
• Other duties as assigned.

• H.S. Diploma or GED.
• Previous experience with insurance verification/authorization preferred.
• Prior scheduling experience preferred.
• Computer skills including MS Office, Excel, Word, Outlook, and scheduling program(s).
• 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.

• Ability to participate in physical activity.
• Ability to work for extended periods of time while sitting, standing and/or being involved in physical activity.
• Moderate lifting.
• Ability to do moderate bending, lifting, and standing on a regular basis.