What are the responsibilities and job description for the Insurance Authorization Specialist position at Family Home Health / Three Rivers Hospice?
Family Home Health, a division of Quality Life Services is looking to add an Insurance Authorization Specialist to our team. You will be a key member of our home nursing team and intake team.
About Quality Life Services
We are a family owned and operated healthcare network in Western PA. We have over 40 years of industry-leading experience and offer a wide range of services from skilled nursing, personal care, home health, hospice, as well as our own pharmacy. We see our employees as a part of our family.
Why Quality Life Services?
- Welcoming and supportive atmosphere
- Significant employer contributions to health insurance premiums from Highmark Health
- Robust voluntary benefits package including 401K, life insurance, accident insurance, and more
- Generous earned Time Off (ETO) and an ETO buy-back twice a year
- Educational benefits such as tuition reimbursement and student loan repayment
- Employee Assistance Programs and Chaplain Services
- Professional development and growth opportunities
Responsibilities
- Facilitate a timely comprehensive exchange of pertinent information with insurance carriers/payers
- Obtain preauthorization for initial and ongoing home nursing services
- Provide a customized review of the patient’s health status to meet the expectations of the payer
- Develop a rapport and approach with the payer to facilitate the coordination of patient care
- Document verification of eligibility or preauthorization on the appropriate forms and submit documentation
- Carry out the role of patient advocate, representing the condition of the patient to payers and advocate for services needed
- Establish pre-admission health care eligibility requirements
- Obtain and document prior authorization for home care services from insurance providers
Requirements
- High school diploma or GED
- 3 years’ experience in health care managed care coordination, preferably in home health care
- Excellent communication skills
Apply to join the Quality Life Services team today!
At Quality Life Services, we don’t just accept difference — we celebrate it, we support it, and we thrive on it for the benefit of our employees, our residents, and our communities. We are proud to be an equal opportunity workplace.
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