Centralized Authorization Specialist

Human Touch Home Care is looking for a qualified Authorization Specialist to join our team. As an Authorization Specialist, you play a crucial role in facilitating and managing the authorization process for medical services within a healthcare organization. Your primary responsibility is to ensure that all necessary approvals and documentation are obtained efficiently and accurately to support patient care and financial processes.

About us: We are a home healthcare provider in the area. We provide comprehensive, skilled, and non-skilled services, to our home bound clients in Colorado, with an excellent track record of client-focused care. We strive to help clients to improve their lives while in the comfort of their homes. To meet our standard of care, we offer a variety of affordable and high-quality home health care solutions that will meet the needs of the seniors, disabled, and ill members of the community.

Benefits:

• Competitive salary commensurate with experience.
• Opportunities for professional development and career advancement
• Comprehensive benefits package including:
  • Health insurance
  • Vision
  • Dental
  • Paid Time Off
  • Sick Leave
  • Retirement plans

Responsibilities:

• Perform prior authorization for new and existing patients.
• Perform new intake eligibility and benefits.
• Facilitate the communication functions of the business office.
• Provide clerical support and excellent customer service, including explaining insurance benefits to clinical staff.
• Adhere to all policies and procedures.
• Enter new patients into scheduling system and update to patient information as they occur.
• Communication with clinicians regarding admissions, hospitalizations, discharges, and expirations.
• Perform other duties assigned to meet the goals and objections of our home care operations.

Qualifications:

• Must have high school diploma/GED.
• Must have a minimum of two years' experience in medical prior authorizations.
• Must have experience with EMR and Microsoft office.
• Knowledge of HIPAA and medical terminology.
• Must have a strong knowledge of Medicare, Medicaid, and commercial insurances.
• Must have the ability to multi-task in face paced environment.
• Must have excellent interpersonal and organization skills.
• Must be able to work in group and independent environment.

Job Type: Full-time

Schedule: Monday through Friday 8:30am to 5:00pm.

Pay: $18-$21 per hour per hour (pay based on experience)

Note - This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned by their supervisor. Adjustments can also be made based on specific organizational needs and local regulatory requirements.