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Authorization Specialist
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Summit Health Clifton, United States Full timeDescription · Position Summary: · The Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorizat ...
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Authorization Specialist
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Summit Health Inc Clifton, United StatesThe Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorization Spe Authorization, Specialist, Or ...
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Summit Health Inc Clifton, United StatesThe Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorization Spe Authorization, Specialist, Or ...
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Authorization Specialist
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Health Alliance Valhalla, United StatesCompany: NorthEast Provider Solutions Inc.Department: Clinical Care Mgmt-WMC HealthUnion: NoPosition: Full TimeHours: M-F 9-5pShift: DayPosted Date: Feb 27, 2024Hiring Range: $ $27.98Apply NowJob Summary:The Authorization Specialist is responsible for performing complex clerical ...
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Authorization Specialist
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WMC Health Valhalla, United StatesJob Details: · Job Summary: · The Authorization Specialist is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for hospital procedures and tests as well as office diagnostic testing in accordance with ...
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prior authorization specialist
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Authorization Specialist
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Pre-Authorization Intake Specialist
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Metropolitan Jewish Health System New York, United StatesThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-qualit ...
Authorizations Specialist - New York, United States - True Care
Description
Job Description
Job DescriptionSalary: $23 per hourCompany Overview: Empowering Health, Enriching Lives: True Care's Enduring Mission
At True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to provide holistic, personalized care that empowers health and enriches lives.
Every day, we embark on a journey to bring comfort, vitality, and dignity to those we serve. Our mission is driven by a deep understanding of the unique needs and aspirations of each individual under our care. We believe that home is not just a place but a sanctuary where healing and well-being flourish best. Hence, we endeavor to make this sanctuary a haven of health and happiness.
We pledge to create a nurturing environment where our clients and their families feel heard, valued, and supported. Our highly trained and empathetic professionals are not just caregivers but partners in the pursuit of well-rounded wellness. With a focus on open communication, collaboration, and respect, we forge lasting relationships that transcend the boundaries of traditional healthcare.
Our mission is to be a guiding light, illuminating the path toward optimal health and well-being. As we navigate challenges and triumphs together, we remain resolute in our dedication to uplifting lives, one compassionate interaction at a time.
At True Care, we don't just offer home healthcare – we offer hope, healing, and a brighter tomorrow.
Position Title: Authorizations Specialist
Reports to: Director of Finance
Job summary: The Authorizations Specialist handles all aspects of authorizations for patient services and is the liaison between the company and contracted partners. He/she is responsible for ensuring data received from our contracts is accurate, verified and then entered into the system. The Authorizations Specialist ensures continuity of service by acquiring authorizations as needed and confirming eligibility for active patients under all lines of business.
Responsibilities include:
● Responsible for reviewing insurance authorization forms for services provided to clients for corrections
● Monitor and track patient authorizations, informing supervisor of any expired dates
● Review and audit all authorizations for appropriate codes and units before entering into system
● Enter all confirmed authorizations into HHA eXchange and notify appropriate departments to continue with scheduling services
● Routinely verify insurance eligibility on contract websites and portals
● Routinely verify Medicaid eligibility on ePaces
● Follow processes and notify appropriate teams regarding lost eligibility or disenrolled members
● Run reports on upcoming expiring authorizations and follow processes to get increases for patient services
● Follow processes for paperless systems including eFax data tracking and scanning all documentation to centralized location
● Participate in data retrieval for claims appeals and requests for payment
● Liaison between the insurance companies and the agency
● Maintain appropriate logs or reports according to company standards
● Provide superior customer service through phone/fax management skills, computer documentation of codes and information for claims
Job requirements:
● High School Graduate/ GED equivalent
● Knowledgeable of basic office software technology; ePACES is a plus
● Must be able to communicate professionally over the phone, in person and through email communication
● Experience in HHA eXchange is a plus
● Able to successfully work well in a team and also independently on certain projects and tasks
True Care provides equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law.
