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Authorization Specialist

Human Touch Home Health Care
Colorado, CO Other
POSTED ON 1/24/2025
AVAILABLE BEFORE 2/21/2025

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.

Salary : $18 - $21

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