What are the responsibilities and job description for the Authorization Coordinator position at Emerald Home Health?
JOB DESCRIPTION
Authorization Coordinator- Home Health
REPORTS TO: Administrator/Assistant Administrator/Clinical Director
JOB SUMMARY:
The Authorization Coordinator performs a variety of administrative duties in the Emerald Home Health office, including but not limited to; Insurance Authorization and Liaison to all MCO, and insurance platforms, communication with medical facilities to resolve discrepancies between authorization and billing departments, supporting clinical staff and assisting in the intake process to schedule Emerald Home Health employees to meet consumer needs.
The Authorization Coordinator provides administrative support for the Emerald Home Health home health department operations. The Authorization Coordinator understands basic clinical issues and conducts business diplomatically and confidentiality by using effective communication skills.
They may participate and provide written documentation on employee incidents to be used in counseling, as well as assist in the preparation of field staff evaluations.
DUTIES AND RESPONSIBILITIES:
- Obtains and enters insurance and infusion authorizations into the electronic medical record.
- Obtains and enters re-authorizations into the electronic medical record.
- Assist with entering consumer demographics into the electronic medical record system.
- Acts as a contact for insurance companies, portals, and medical facilities, and clinical staff.
- Assists in training new personnel.
- Receives consumer calls and inquiries.
- Keeps consumer records and information up to date.
- Assists Billing coordinator as needed for service calls to all home health and institutional consumers when copays or deductibles have been identified.
- Handles complaints tactfully and refers them to the Clinical Director, Assistant Administrator, or Clinical Manager immediately.
- Performs typing and other clerical duties at the direction of the Clinical Director, Assistant Administrator, or Clinical Manager.
- Ensures consumer confidentiality.
- Assists with the coordination home health service requests as needed.
- Verifies insurance data on prospective consumers.
- Assists with consumer clinical records/referrals in an orderly format in a secured area.
- Maintain consumer electronic medical records.
- Assists the Clinical Director with general clerical tasks, other duties as assigned.
QUALIFICATIONS/EDUCATIONAL REQUIREMENTS:
- College degree preferred from an appropriate institution.
- High school diploma or equivalent acceptable.
- Minimum of two years’ work experience in a customer service capacity.
Work Location: Onsite
Work Hours: 8:00am -4:30pm or 8:30am -5:00pm
Work Days: Monday through Friday
Working experience in a high-pressure environment, including experience in adapting to changing priorities. Candidates must also have computer/ keyboard skills and proficiency in Microsoft Office software.
PHYSICAL DEMANDS:
Office level work, Computer use, lift up to 30 pounds.
At Emerald Home Health we offer the following benefits for Full-Time Employees:
- Medical Benefits
- Accident Plan
- Cancer Protection
- Short Term Disability
- Term Insurance
- Whole Insurance
- PTO for FT Home Health employees
- Employee Referral Bonus
EQUAL OPPORTUNITY EMPLOYER:
Emerald Home Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
It is the policy of Emerald Home Health to comply with all federal and state laws concerning the employment of persons with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC). Emerald Home Health will reasonably accommodate qualified individuals so that they can perform essential job functions of a job unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship on Emerald Home Health.
