Prior Authorization Specialist

Job description

Overview: Schedule: M-F (Day shift, 40 hours per week) This is a temporary position without guarantee of conversion to full-time employment. Job Description Summary: Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies, including Medicaid and self-pay. Maintains current knowledge of changes in billing requirements and regulations and assists in resolving billing problems. Job Description: Essential Functions: - Verifies patient insurance coverage and eligibility for homecare services. - Processes and submits insurance claims for reimbursement. - Communicates with patients, insurance companies, and healthcare providers to resolve billing issues. - Maintains accurate and up-to-date patient records and billing information. - Monitors and tracks outstanding claims and follows up on unpaid or denied claims. - Ensures compliance with all relevant regulations and guidelines related to homecare billing and reimbursement. Education Requirement: High School Diploma or equivalent, required. Licensure Requirement: (not specified) Certifications: (not specified) Ski...