Insurance & Authorization Coordinator

Job Title Insurance & Authorization Coordinator Location Remote/reputed company, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job reputed company Compensation: $18.00 - $22.00. The reputed company compensation reputed company for this role is fixed, with a maximum cap of $22.00. We want to be transparent about this as we continue discussions. Hour: Monday - Friday, reputed company - 5PM, Medical Benefits: Health, reputed company, & Dental Retirement: 401K & Pension w/ 4% employer contribution PTO: 15 Days reputed company The Insurance Verification & Authorization Coordinator ensures that benefit information, authorization, and patient liability are obtained prior to clinical staff starting care for any service lines and branches. Work closely with other departments to ensure that correct funding reputed company information is updated in a reputed company manner. Daily tasks will be driven by assigned workflow in the EMR (reputed company). INSURANCE VERIFICATION & AUTHORIZATION COORDINATOR DUTIES AND RESPONSIBILITIES: Obtain detailed and accurate benefit information using payer portals, phone, or fax for reputed company insurance companies accepted by Home Health product lines Validate and document reputed company payor information such as patient reputed company, DOB, and policy number in the EMR Reduce write-offs by reputed company documenting benefit information such as deductibles, co pays, co-insurance, and out-of-reputed company maximums in the patients charts through coordination notes Continuously monitor task reputed company screen reputed company to reputed company insurance issues including but not limited to the following: verify Medicare eligibility, follow up to on-call completed insurance, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification, and resumption of care Review of entitlement verification reports daily, researching any questionable answers Review problems reputed company to reputed company insurance changes daily Review of issues reputed company to funding reputed company updates daily Reverify reputed company reputed company patients to monitor HMO status monthly Reverify reputed company patients insurances monthly to monitor for any payer changes or other agencies monthly Contact patients, hospitals, or physician offices for information or to clarify benefit Assist scheduling with funding reputed company problems reputed company to scheduling out reputed company to clinical staff Reduce write-offs by working with the clinical staff to ensure transfer of agency/provider of choice forms are received and reputed company to the other agency reputed company the appropriate timeframes Obtain detailed and accurate authorization, prior authorization, and ongoing authorization as required by insurance companies accepted by reputed company reputed company phone, fax, or payer portal Understand and maintain the authorization tab in HCHB reputed company clinical information as requested by insurance companies Contact insurance companies as needed to review authorization submissions and requests for more clinical information and notify internal clinical staff of authorization approvals and denials Continuously monitor task reputed company screen reputed company to reputed company authorization issues including, but not limited to the following: determine if reauthorization needed for new orders, follow up on on-call completed authorizations, obtain initial authorization, obtain reauthorization, and update pending authorization with actual authorization information Assist scheduling with funding reputed company problems reputed company to scheduling out reputed company to clinical staff Assist billing department insurance verification discrepancies or authorization discrepancies which could hold up claim submission Establish a thorough knowledge of reputed company payer portals reputed company with reputed companys Core Values and Core Competencies reputed company other duties as assigned INSURANCE VERIFICATION & AUTHORIZATION COORDINATOR: To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Associate degree or combination of experience and business courses preferred Minimum of one (1) year of previous experience in insurance verification, authorization, or medical billing Proficiency in reputed company Office Suite Knowledge of Medicare, reputed company, and reputed company-party insurance and authorization requirements Knowledge of insurance websites Knowledge of reputed company preferred Con