Specialist - Authorization

Position Summary

Responsible for obtaining prior authorizations, checking insurance eligibility and assisting Home Health department as needed.

Compensation: $20 - $21 hourly

Work Environment: Remote 

Schedule: Flexible based on needs of the business 

Lifespark Benefits Include:    

• Annual Reviews/Raises {Shift differentials if applicable}  

• Paid Time Off – Vacation Time  

• Mileage reimbursement 

• Medical, Dental, Vision benefits for Full Time Hires  

• Short-Term Disability & Long-Term Disability Insurance  

• Life Insurances  

• 401k + Company Match for full-time and part-time employees  

• Referral bonuses  

• Career path to other positions within our growing company!  

Position Functions and Responsibilities

• Submit timely and accurate authorization requests for all third-party payers
• Check insurance websites or call to inquire accurate eligibility information
• Review and complete assigned daily tasks in Home Care Home Base
• Assist billing manager and Accounting team as needed
• Available for occasional coverage on weekends
• Communicate policies, procedures, errors and issues with appropriate team members and departments
• Demonstrate ability to communicate effectively and express ideas clearly
• Attend and contribute during team meetings
• Demonstrate initiative to meet department needs by assisting coworkers when workload permits
• Maintain a working knowledge of documents required for submission of prior authorization requests

Qualifications

• Education: Associate’s degree preferred, or commensurate experience
• Experience: 1-3 years of home health office experience preferred

Knowledge, Skills and Abilities

• Billing software experience (Home Care Home Base, Ability, Athena, etc.)
• Basic understanding of medical records
• Knowledge of basic accounting principles, practices and procedures
• Microsoft Office including intermediate Excel, Word and Outlook skills required
• Attention to detail and high level of accuracy
• Organized
• Client focus: both internal and external
• Excellent communication skills, both written and oral
• Confidentiality
• Decision making
• Personal resiliency: emotional/intellectual flexibility, calm, focused and able to maintain objectivity
• Problem solving
• Productivity: prioritization, planning and organizing

Physical Demands

The following physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Employee is occasionally required (1-33% of the time) to walk, sit, kneel, reach, twist, crawl, stoop, crouch, climb and balance
• The employee is occasionally (1-33% of the time) required to squat, bend, stand, and taste or smell
• While performing the duties of this position, the employee is regularly (67-100% of the time) required to use hands and fingers to handle and feel; reach with hands and arms; talk; and hear
• The employee must regularly (67-100% of the time) lift, move and /or carry up to 10 pounds, and occasionally (1-33% of the time) lift, move and /or carry more than 10 pounds
• The employee regularly (67-100% of the time) push and/or pull up to 10 pounds and occasionally (1-33% of the time) push and/or pull more than 10 pounds
• Specific vision abilities required by this position include distance vision, color vision and ability to adjust focus

Work Environment

• Willingness to work beyond normal working hours and in other positions temporarily when necessary.
• Office work is performed in a professional business office environment, well lighted, clean, and hazard-free. Office equipment is kept in good operating condition to enable work to be done efficiently.