Authorization and Benefit Clerk - ProHealth Home Health & Hospice (Centre, AL

Authorization and Benefit Clerk - Pro Health Home Health & Hospice (Centre, AL)
Locations

Centre, AL 35960, USA

Job Description:

Verification/authorization specialist responsible for providing office support, including verifying accepted payers, obtaining required authorizations, charting, phone calls, and patient scheduling. This role is typically the first point of contact with intake/clinical staff, greeting them and collecting initial information such as contact, referral, and insurance details.

• High School Diploma or GED
• Previous experience with insurance verification and authorization is preferred
• Computer skills including MS Office (Excel, Word, Outlook) and scheduling software
• Interpersonal, organizational, and communication skills
• Ability to follow directions, read, and write
• Maturity and ability to handle job demands
• Basic medical terminology
• Ability to participate in physical activity and perform duties as required

• Verify all payers assigned in a timely manner
• Maintain professional relationships and communication with internal and external customers
• Obtain timely authorization for all payers requiring authorization
• Follow up on pending/outstanding authorizations promptly
• Maintain office space and reception areas
• Collaborate with billing on retro pre-certification, billing issues, and/or authorization denials
• Oversee office and medical supply inventories
• Manage email and mail traffic in a timely manner
• Maintain forms and packages as directed by supervisor
• Perform other duties as assigned

Supervised by:
Director of Verification and Authorizations

Low Risk

• Ability to perform duties that may require physical activity
• Ability to work extended periods seated or standing; occasional moderate lifting
• Ability to bend, lift, and stand as part of daily tasks

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For more information, review the Know Your Rights notice from the Department of Labor.