What are the responsibilities and job description for the Authorization Specialist position at benefithomehealthcare.com?
Job Description Summary
The Authorization Specialist obtains insurance verification on patient admissions and recertification's and works with Billing and Patient Care Staff to resolve issues.
Essential Job Functions / Responsibilities
- Contact insurance company / case managers to verify patient insurance coverage and obtain information concerning the extent of benefits.
- Utilize the UGS / DDE and EDS computer programs to verify eligibility for Medicare and Medicaid, and thoroughly research any possible secondary payers.
- Prepare insurance verification form with data such as names of insurance company and policyholder and policy number. Accurately enters insurance information into Homecare Homebase (HCHB).
- Prepare estimates of patient copayment for clinician to deliver to patient, and notifies clinician of preauthorized visits.
- Enters visit authorizations into HCHB computer system and maintains an audit system for additional visit authorization needs. Reports unauthorized visits to supervisor when applicable.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Job Title / Position : Authorization Specialist
Position Qualifications
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at