Authorizations Specialist

Ultimate Care NY is seeking a talented Intake Specialist to join our team!

As an Authorizations Specialist, your key role will be to help us educate our consumers on available services and assist them in the process to get approved. This is an exciting role that works with an Ultimate team! Join us and help us maintain our commitment to the excellence of home care services!

You will:

• Process and track authorizations for home health services, ensuring timely submission to insurance providers.
• Review patient records and treatment plans to ensure all required documentation is complete and accurate.
• Communicate with insurance companies to secure necessary authorizations for services.
• Manage and resolve issues related to denied or delayed authorizations, including re-submissions or appeals.
• Maintain detailed and accurate records of all authorization activities.
• Collaborate with clinicians, case managers, and other team members to ensure care plans align with authorization requirements.
• Stay updated on changes in insurance policies, billing codes, and regulatory requirements related to home care.
• Provide exceptional customer service to both internal and external stakeholders, ensuring clear and efficient communication.
  

You will have:

• High school diploma or equivalent
• Strong organizational and time management skills, allowing you to successfully manage multiple schedules and task simultaneously.
• Proficiency in using scheduling software or systems is a plus, as it can streamline the scheduling process and enhance efficiency.
• Excellent communication and interpersonal skills, enabling you to build rapport with clients, caregivers, and healthcare professionals.
• The ability to work in a fast-paced environment and remain calm under pressure, ensuring that challenges are effectively addressed. • Ability to work in collaborative environment across departments
• At least 1 year of experience working in a high-volume customer service environment.
• Previous experience in scheduling or coordination, preferably in a healthcare or home care setting
• Ability to adapt to new software and work models.
• Knowledge of HHAeXchange

We offer the Ultimate employee perks (literally)!

• Health, Vision, Dental Benefits
• Emblem Care: accessible virtual care, when and where people need it
• ComPSYCH: Employee Assistance Program: Counseling (Guidance Resources for Work, Life, Legal and Financial)
• Competitive rate and advancement opportunities
• 401k Retirement plan Employer Match
• Voluntary Life, Critical Illness, Group Hospital Indemnity, Accident Insurance
• Generous paid time off, sick time
• Learning and development resources
• Merit-based employee recognition program with rewards $$$
• Daily pay via payroll program
• Discount programs for restaurants, Broadway shows, movies, shopping, and much more!
• Blink Fitness Gym Membership Discount

About Us:

Our mission is to provide and restore client dignity and independence in their homes through individualized care plans in an effort to reduce caregiver role and stress on family members while avoiding nursing homes and assisted living facilities.

Ultimate Care is a licensed home care provider located in the state of New York. We offer comprehensive home care services where we lead with our hearts to offer top quality and empathetic home care services.

At Ultimate Care, we recognize the pivotal role that home care plays in the overall patient care journey, offering a myriad of benefits for those seeking comfort, independence, and personalized attention. Our commitment is to create a familiar and secure environment within one's own home, fostering a profound sense of well-being. We understand the importance of maintaining independence, and our tailored home care services empower individuals to engage in their daily routines with the necessary assistance, promoting a sense of autonomy. Our personalized care plans are crafted to address unique needs, adapting over time to ensure ongoing relevance and effectiveness. Ultimate Care not only strives to be cost-effective but also places a strong emphasis on fostering family involvement, believing that strengthened bonds and emotional support are integral components of the healing process.

At Ultimate Care and our affiliates, we're committed to creating a diverse, inclusive, and authentic workplace. If you're enthusiastic about the role but don't meet every qualification in the job description, we encourage you to apply. You could be the ideal candidate for this or other roles!

Ultimate Care is an equal opportunity employer committed to non-discrimination in hiring, valuing qualifications over factors such as race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, and sexual orientation. Ultimate Care is dedicated to providing reasonable accommodations for individuals with disabilities and disabled veterans to foster an inclusive and accessible work environment. If you require accommodation, please inform us.

Ultimate Care does not accept resumes from unsolicited search firms nor recruiters.

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Salary : $23 - $25