Authorization & Eligibility Clerk (Hospice)

Addus HomeCare Corp
  • Frisco, TX
    24 days ago

    Job Description

    Position Summary:

    The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred. Hospice Commericial authorization experience required.

    Schedule: Remote - Monday thru Friday 9am-6pm CST with an hour lunch. There is an on-call rotation for

    evenings and weekends also.

    >> We offer our team the best <<

    • Medical, Dental and Vision Benefits
    • Continued Education
    • PTO Plan
    • Retirement Planning
    • Life Insurance
    • Employee discounts

    Essential Duties:

    • Track and request all authorizations for private insurance
    • Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager
    • Disseminate accurate information regarding authorizations to staff
    • Minimize denied authorizations
    • Schedule authorizations upon receipt
    • Enter staff schedules for private pay clients weekly
    • Verify insurance eligibility of clients on a monthly basis
    • Report unauthorized visits monthly
    • Adhere to work schedule and maintain good punctuality and attendance record
    • Adhere to dress code
    • Perform any other related duties and responsibilities deemed necessary by Supervisor.

    Position Requirements & Competencies:

    • Insurance experience preferred - running/reading eligs, requesting authorizations
    • HCHB experience preferred
    • Home health & Hospice experience required
    • Possess knowledge of medical terminology and/or possess general medical background
    • Ability to work with little supervision and make appropriate judgments
    • Excellent organizational skills, and interpersonal skills.
    • Must be dependable, tactful and ability to follow orders.
    • Demonstrate ability to manage multiple deadlines.
    • Must have advanced computer skills.
    • Must have excellent customer service skills.
    • Must be proficient in Excel and Microsoft Word.

    To apply via text, text 12058 to 334-518-4376

    Numbers & Facts

    LocationFrisco, TX

    Skills

    • Billingunmatched
    • Computer Skillsunmatched
    • Customer Support/Serviceunmatched
    • Home Careunmatched
    • Hospice Careunmatched
    • Insuranceunmatched
    • Interpersonal Skillsunmatched
    • Life Insuranceunmatched
    • Medical Terminologyunmatched
    • Microsoft Excelunmatched
    • Microsoft Wordunmatched
    • On Callunmatched
    • Organizational Skillsunmatched
    • Process Improvementunmatched
    • Retirement Planningunmatched
    • Time Managementunmatched

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