Home Health Authorization Specialist

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* Employment Type:

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* Full time

** Shift:*
* *
* Description:

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* ** Home Health Authorization Specialist*
* ** Monday-Friday 8:30 a.m.

-5:00 pm EST rotating weekends & holidays*
* Build a Career. Make a Difference. Love Where You Work.

As a Home Health Authorization Specialist, you will be responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities include processing all frontend documentation needed to meet third party payer authorization deadlines assuring accurate billing. In addition, monitors all accounts for ongoing authorization needs to ensure optimal reimbursement and compliance per agency policy.

This position works closely with the THAH insurance team and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished in a remote work environment.

** What You Can Expect*
* ** Consistent & Reliable Workloads*
* + Predictable schedules with steady assignments-no scrambling for hours.

** Competitive RN Pay + Low-Cost Benefits*
* + Strong compensation paired with affordable medical, dental, vision, retirement options and more. And your benefits begin on your first day!

** Supportive, Nurse-Led Leadership*
* + Accessible managers who understand the field and have your back.

** Real Career Growth Opportunities*
* + Nearly every leader here started in a field role-advance clinically or step into leadership.

** Epic EHR System*
* + Efficient documentation and seamless care coordination-less time charting, more time caring.

** Fast, Respectful Hiring Process*
* + Quick interviews and timely offers because your time deserves respect.

** What You Will Do*
* + Prepare and enter data into the appropriate software assuring the accuracy of the regulated client account following all regulations placed on the homecare agency.

+ Timely follow up on pending authorizations to ensure payment of claims.

+ Generates all authorization documentation needed to bill in a timely manner assuring industry standards are met.

+ Monitors and processes the Subsequent Authorizations workflow and reports daily to assure timely and clean billing.

+ Provides statistical feedback regarding the status of unbilled claims due to authorizations to THAH Revenue team on a weekly basis or as defined by policy.

+ Interfaces with THAH to resolve problems related to the processing of bills/claims. Investigates client accounts and provides any additional documentation required.

+ Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical data entry and/or billing problems.

+ Acts independently and responsibly to perform duties on a consistent basis and in a timely manner.

+ Acts as liaison between physician offices, THAH Service Center and the agency to assure timely billing with appropriate documentation.

+  Ensures that services provided support continuous quality improvement, customer-oriented focus, and quality client care outcomes.

** Benefits*
* +  
** Day 1 Benefits - Health, dental and vision insurance*
* + Work Today Get Paid Tomorrow

+ Employee Referral Reward Program

+ Short and long-term disability

+ Tuition Reimbursement

+ 403b

+ Generous paid time off

+ Comprehensive orientation

** Minimum Qualifications*
* + The incumbent can articulate and demonstrate a commitment to the mission, vision, and values of Trinity Health and to inspire active support of these in others.

+ The preferred candidate will have a high school diploma or GED.

+ College business courses or an associate degree is preferred, or four to six years of experience in a medical billing office setting with a concentration on authorizations.

+ A strong knowledge of general business office functions, strong analytical and organizational skills and microcomputer usage is required.

+ Incumbent must possess the following: ability to meet strict deadlines with high level of accuracy, ability to prioritize multiple tasks in highly automated setting…