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    • Authorization and Billing Specialist - Whitehall Township - Maximum Care

    Maximum Care
    Maximum Care Whitehall Township

    2 weeks ago

    Default job background
    Full time Education / Training
    Description

    Job Description

    We are seeking an Authorization and Billing Specialist to contribute to our team at Maximum Care, Inc.

    With over 40 years of experience in supporting the elderly, disabled, and Participants with Intellectual Disabilities, we strive to provide quality and respectful care that upholds client dignity and rights.

    Our Mission:

    At Maximum Care, Inc., we foster a learning environment that promotes professional growth among staff and office employees, while administering home care services cost-efficiently and effectively.

    Our employees enjoy a diverse, inclusive, and equitable work culture that encourages development and administration of home care services.

    Responsibilities:

    • Manage and obtain authorizations for home care services provided to clients.
    • Review and enter authorizations into the system accurately and promptly, following up on any missing authorizations.
    • Coordinate with stakeholders, including internal operations, case coordinators, and insurance companies, to facilitate a smooth authorization process.
    • Notify management of issues with coverage or non-coverage.
    • Verify insurance eligibility and authorization for new and existing clients.
    • Maintain professional communication with clients, payers, and employees regarding authorization status and questions.
    • Assist with researching payments received from insurance companies related to billing denials.
    • Perform other projects/duties as assigned by the administration.

    Qualifications:

    • Two or more years of proven experience in home care billing and authorization process, preferably familiar with HHAX.
    • Detail-oriented individual who can efficiently handle the authorization process.
    • Strong organizational skills and attention to detail.
    • Excellent communication skills and ability to interact professionally with clients, healthcare providers, and insurance company representatives.
    • Proficiency in using computer systems and multiple software applications.
    • Ability to work independently with minimal supervision and make sound judgments based on established guidelines and procedures.

    Benefits:

    • Personal Time Off
    • Medical Benefits
    • Supplemental Insurance
    • Competitive compensation
    • Bonuses
    • Ongoing education
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Whitehall Township