Authorization & Eligibility Clerk – Hospice

This is a fully remote position, open to applicants in Texas.

📋 Description

• Monitor and request all necessary authorizations for private insurance.

• Implement changes to enhance the authorization workflow and foster relationships with providers under the guidance of the Billing Manager.

• Provide precise information regarding authorizations to the staff.

• Reduce the occurrence of denied authorizations.

• Schedule authorizations promptly upon receipt.

• Input staff schedules for private pay clients on a weekly basis.

• Conduct monthly verifications of clients' insurance eligibility.

• Report unauthorized visits on a monthly basis.

• Comply with the designated work schedule and maintain a strong record of punctuality and attendance.

• Follow the established dress code.

• Carry out any additional related duties and responsibilities as assigned by the Supervisor.

⛳️ Requirements

• Preferred experience in insurance, including running and reading eligibility and requesting authorizations.

• Experience with HCHB is preferred.

• Required experience in home health and hospice settings.

• Familiarity with medical terminology and/or a general medical background is essential.

• Capability to work independently with sound judgment.

• Strong organizational and interpersonal skills are necessary.

• Dependability, tact, and the ability to follow instructions are required.

• Ability to handle multiple deadlines effectively.

• Advanced computer skills are a must.

• Exceptional customer service skills are required.

• Proficiency in Excel and Microsoft Word is essential.

🏝️ Benefits

• Medical, Dental, and Vision Benefits.

• Opportunities for Continued Education.

• Paid Time Off (PTO) Plan.

• Retirement Planning options.

• Life Insurance coverage.

• Employee discounts.