Authorization and Benefit Clerk -… at ProHealth Group · Centre

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

Job Description:

Verification/auth specialist may be responsible for, but not limited to, all office duties, including verifying all accepted payers, obtaining authorization for all payers that auth is required for, charting, phone calls and patient scheduling. These support professionals are typically the first point of contact with intake/clinical staff, greeting them and taking initial information, which may include contact, referral, and insurance information.

1. H.S. Diploma or GED.

2. Previous experience with insurance verification/authorization preferred.

3. Prior scheduling experience preferred.

4. Computer skills including but not limited to MS Office, Excel, Word, Outlook, and Scheduling program(s).

5. Interpersonal, organizational and communication skills.

6. Ability to carry out directions, read and write.

7. Maturity and ability to deal effectively with the demands of the job.

8. Basic medical terminology.

1. Verifying all payers assigned in a timely manner.

2. Managing and maintaining a professional relationship and professional communication with all internal and external customers.

3. Obtaining authorization in a timely manner for all assigned payers that require authorization.

4. Follow up on any pending/outstanding authorization in a timely manner.

5. Maintaining office space and reception areas.

6. Work with billing on follow up work needed for retro pre-cert, billing issues, and/or authorization denials.

7. Overseeing office and medical supply inventories.

8. Managing email and mail traffic timely.

9. Maintaining forms and packages as directed by supervisor.

10. Other duties as assigned.

Works indoors/office space.

1.Supervised by: Director of Verification and Authorizations

Low Risk

Ability to perform the following tasks if necessary:

* Ability to participate in physical activity.

* Ability to work for extended periods of time while sitting, standing and/or being involved in physical activity.

* Moderate lifting.

* Ability to do moderate bending, lifting, and standing on a regular basis.