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Home Health Prior Authorization Specialist

External
ashealthnet logoAshealthnet · Kettering, OH
Full-timeOn-site6d ago
ComplianceDocumentationEpicExcel
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Requirements

  • High-School graduate or equivalent. Associates Degree preferred.
  • 1 year of billing insurance experience in a health care environment preferred.
  • Capable of all physical demands.
  • City: Kettering, OH
  • #INDASHN3
  • We'll help you put your passion for patient care to work. Apply today!
  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
  • We are an Equal Opportunity Employer.

Benefits

HOW YOU'LL WORK:You will interface directly with clinical staff, medical offices and insurance payors to ensure a seamless process to the patients receiving post-acute health care services.MAJOR AREAS OF RESPONSIBILITY:Customer Service: Communicates with patients, employees and vendors regarding services. Assists patients, their families and co-workers in understanding authorizations and eligibilityOperations: Checks eligibility for all payor types, assumes responsibility for all patient authorizations. Collects and records accurate patient information.Compliance: Understands and practices agency policies and procedures and continually improves practices. Able to follow all legal rules and regulationsHARD & SOFT SKILLS:Excellent communicator with a positive attitude.Patience is a virtue when working with patients, families, physicians, and coworkers.Attention to detail is critical, as is being observant and following directions.Proficiency in Microsoft Excel, Word, and Outlook. Experience with Peachtree, HCHB and EPIC is preferred. Ability to learn new systems.Problem solving and create solutions to drive to a course of action.Health insuranceDental insuranceVision insurance401(k)

Additional Information

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Monday - Friday, 8:15am - 5pm *This position is located in our Kettering office* HOW YOU'LL MAKE A DIFFERENCE: At Alternate Solutions Health Network, we care for patients where they spend the majority of their time - in their homes. Today we care for patients who need skilled home care and hospice services. You won't find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home. As an Authorization Specialist , you will take the lead in securing medical authorizations from third party payers (commercial and government) for post-acute services. The Authorization Specialist will be instrumental in obtaining written documentation, tracking, prioritizing and reporting outcomes of each authorization request.

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