Authorization & Eligibility Clerk – Hospice

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

📋 Description

• Monitor and request all authorizations for private insurance.

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

• Provide accurate information about authorizations to staff members.

• Reduce the number of denied authorizations.

• Schedule authorizations promptly upon receipt.

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

• Confirm insurance eligibility for clients monthly.

• Report on unauthorized visits each month.

• Follow the established work schedule and maintain a good record of punctuality and attendance.

• Comply with the dress code.

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

⛳️ Requirements

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

• HCHB experience is a plus.

• Required experience in home health and hospice care.

• Knowledge of medical terminology or a general medical background is essential.

• Ability to work independently and make sound judgments.

• Strong organizational and interpersonal skills are necessary.

• Must be reliable, tactful, and able to follow instructions.

• Demonstrated ability to handle multiple deadlines effectively.

• Advanced computer skills are required.

• Proficiency in Excel and Microsoft Word is mandatory.

🏝️ Benefits

• Medical, Dental, and Vision Benefits.

• Opportunities for Continued Education.

• Paid Time Off (PTO) Plan.

• Retirement Planning options.

• Life Insurance coverage.

• Employee discounts available.