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Authorizations Process Specialist

Promise Care NJ
East Orange, NJ Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 4/5/2025

Promise Care is a certified Home Health Agency dedicated to the highest level of skilled nursing and rehabilitative care, helping our patients achieve their optimal level of health in the comfort of their own homes. Our mission is to provide our patients with the most comprehensive, highest quality home health care services possible.

That's our Promise to Care!

As an employer, we pride ourselves on offering a close-knit, supportive working community, flexible scheduling and work locations for the perfect work-life balance.

Promise Care NJ is seeking an individual who will be responsible for ensuring that prior authorizations are received before services are performed.

Authorizations Process Specialist Responsibilities:

  • Requesting and following up on authorizations according to insurance plan requirements
  • Checking insurance eligibility
  • Appealing denied authorizations
  • Responsible for accurate data entry of authorizations
  • Ensuring accuracy of corrections and adjustments to authorizations

Authorizations Process Specialist Skills and Qualifications:

  • Knowledge of MS office and ER software
  • At least one year experience as an authorizations/billing specialist
  • At least three years experience in home health
  • Attention to detail
  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)

Authorizations Process Specialist Schedule:

  • Monday to Friday
  • Expected hours: 40 per week

Authorizations Process Specialist Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

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