Position Summary:

The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health Department; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received.

Essential Duties:

1. Track and request all authorizations for private insurance

2. Make modifications to improve the authorization process and relationships with providers

under the supervision of the Billing Manager

3. Disseminate accurate information regarding authorizations to staff

4. Minimize denied authorizations

5. Schedule authorizations upon receipt

6. Enter staff schedules for private pay clients weekly

7. Verify insurance eligibility of clients on a monthly basis

8. Report unauthorized visits monthly

9. Adhere to work schedule and maintain good punctuality and attendance record

10. Adhere to dress code

11. Perform any other related duties and responsibilities deemed necessary by Supervisor.

Position Requirements & Competencies:

1. Be eighteen (18) years of age or older

2. Minimum 1 year experience requesting authorizations

3. Possess knowledge of medical terminology and/or possess general medical background 4. Ability to work with little supervision and make appropriate judgments.

5. Excellent organizational skills, and interpersonal skills.

6. Must be dependable, tactful and ability to follow orders.

7. Demonstrate ability to manage multiple deadlines.

8. Must have advanced computer skills.

9. Must have excellent customer service skills.

10. Must be proficient in Excel and Microsoft Word.

Working conditions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, talk, hear; use hands to finger, and handle controls. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stand, walk, and stoop. Specific vision abilities required by this job include close vision and the ability to adjust focus.

To apply via text, text 3850 to 334-518-4376

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