Authorization Specialist
Adara Home Health · Mankato, Minnesota, US
Our Mission: Honoring People Our Values: Integrity, Compassion, Curiosity, and Helpfulness The Authorization Specialist supports branch management by verifyi...
Job description
Our Mission: Honoring People Our Values: Integrity, Compassion, Curiosity, and Helpfulness The Authorization Specialist supports branch management by verifying initial and ongoing payer authorization and eligibility of home care services. The position reports to the Business Manager. SCHEDULE: - This is a full time in-office position, Monday - Friday 8am - 5pm. BENEFITS: - Paid Time Off - Paid Holidays - Recognition Program - Employee Referral Program - 401k - 100 % Vested Upon Eligibility - Medical, Dental, Vision, Life, AD&D, Pet insurance - Mobile provider discounts - Tuition Reimbursement MAJOR RESPONSIBILITIES: - Verifies insurance eligibility and authorization of current and potential home care clients in an accurate and timely manner. - Communicates payer authorization and eligibility information to Clinical Manager, Business Manager, or designee. - Enters insurance authorization and eligibility information into Company software. - Notifies branch management regarding lack of payer coverage or other service non-coverage issues. - Performs re-authorization and eligibility checks in a timely manner. - Communicates and documents information regarding change in authorization and...