Home Health Insurance Authorization Specialist

Job description

Become a part of our caring community This is a full time remote position scheduled 40 hours a week for 8 hour shifts, 5 days a week. The schedule is Monday-Friday from 8:30am-5:00pm CST / 9:30am-6:00pm EST. As a Home Healthcare Insurance Authorization Specialist , you will report directly to the Authorization Supervisor and be responsible for: Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate. Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. Coordinate, review,...