Insurance Verification and Authorization Coordinator

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

📋 Description

• Acquire comprehensive and precise insurance benefit details via payer portals, telephone, or fax.

• Confirm and record payer information in the Homecare Homebase EMR system.

• Log deductibles, copayments, coinsurance, and out-of-pocket maximums.

• Oversee insurance verification and authorization task workflows.

• Examine entitlement verification reports and look into any dubious responses.

• Assess insurance modifications and issues related to funding source updates.

• Reverify Medicaid patients and current patient insurance on a monthly basis.

• Reach out to patients, hospitals, and physician offices to clarify benefits.

• Support scheduling with funding source-related challenges.

• Secure and sustain initial, prior, ongoing, and reauthorizations.

• Manage the authorization tab within Homecare Homebase.

• Provide necessary clinical information to insurance providers.

• Follow up on authorization submissions and relay approvals or denials to clinical staff.

• Aid billing with discrepancies in insurance verification and authorization.

• Develop a comprehensive understanding of payer portals.

• Adhere to the company's Core Values and Core Competencies.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Must reside in the Eastern Time Zone.

• Willingness to work every other Saturday is required.

• An associate degree or a combination of relevant experience and business courses is preferred.

• A minimum of one year of prior experience in insurance verification, authorization, or medical billing is necessary.

• Proficiency in Microsoft Office Suite is essential.

• Familiarity with Medicare, Medicaid, and third-party insurance and authorization requirements is expected.

• Knowledge of insurance websites and payer portals is required.

• Experience with HomeCare Homebase is preferred.

• Ability to think critically and act autonomously when addressing benefit discrepancies.

• Strong verbal and written communication skills are essential.

• Capability to work independently as well as collaboratively within a multidisciplinary team.

• Availability on weekends, holidays, and after hours based on business requirements.

• Must possess and maintain a professional license, certificate, or registration in good standing, as applicable.

• Successful completion of a drug screening prior to employment is mandatory.

• Must be legally authorized to work in the United States.

🏝️ Benefits

• Medical benefits including health, vision, and dental insurance.

• 401K and pension plan with a 4% employer contribution.

• 15 days of Paid Time Off (PTO).

• Company-paid life insurance and disability benefits.

• Pre-tax Flexible Spending Account (FSA) and Health Savings Account (HSA) plans.

• 50% tuition discounts for selected courses at Purdue and Kaplan.

• Competitive salary with opportunities for career advancement.