We are seeking a highly organized, detail-oriented, and self-motivated Authorization Coordinator to support the daily operations of our home health agency by managing the prior authorization process. This role serves as a key support to the Authorization Manager, ensuring patients receive timely insurance authorizations for home health services while maintaining compliance with payer requirements. The ideal candidate thrives in a fast-paced healthcare environment, has exceptional organizational skills, and is committed to delivering outstanding administrative support that helps ensure uninterrupted patient care.
Prior Authorization Management: Coordinate and process prior authorization requests for home health services. Monitor authorization status, follow up with insurance providers, and ensure timely approvals to prevent delays in patient care.
Insurance Verification: Verify patient insurance eligibility and benefits, confirm authorization requirements, and identify any coverage limitations prior to the start or continuation of services.
Documentation & Compliance: Gather, review, and submit all required clinical documentation to support authorization requests. Maintain accurate records of authorizations, approvals, denials, and authorization expiration dates while ensuring compliance with payer guidelines and agency policies.
Communication & Coordination: Serve as a liaison between insurance providers, physician offices, clinical staff, and agency leadership to facilitate efficient communication regarding authorization requirements and patient services.
Operational Support: Assist the Authorization Manager with daily administrative tasks, authorization tracking, reporting, and workflow management to ensure efficient department operations.
Denial Management: Assist with resolving authorization denials by obtaining additional clinical documentation, coordinating with clinicians and physician offices, and communicating with insurance representatives as needed.
As an essential member of our administrative team, you will play a vital role in ensuring patients receive timely access to the care they need. Your work directly supports our clinicians and helps prevent delays in services by managing an efficient and accurate authorization process. If you are organized, dependable, and passionate about supporting quality patient care, we encourage you to apply!
Job Type: Full-time
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