Home Health Authorization Specialist

Covenant Hospice - Pensacola, FL3.6

Full-timeEstimated: $30,000 - $43,000 a year
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Benefits
Why Covenant
Every member of the Covenant Care team is dedicated to making moments count for our patients and their families. When your goal is to help others live their lives to the fullest, your life becomes fuller too. We promise.

Ready to join our family?
Whether caring for patients directly or serving in administrative roles to support those who do, our associates enjoy a supportive environment and flexible schedule with professional advancement opportunities. Covenant Care’s team culture is founded upon mutual respect and trust.

We recognize and celebrate the value of each staff member’s unique contributions, which ensure excellence in compassionate care to the patients and families we serve.

Duties

Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
Verify insurance eligibility; contact patients and departments with any negative outcomes
Assist billing with claims issues due to insurance authorization denials
Work closely with the clinical teams and referral sources regarding current and future authorization needs
Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt and processing of authorization
Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
Follow approved guidelines and policies regarding routine patient and payer interactions
Negotiate payment reimbursement from patient and third-party payers
Other duties as assigned
Contact the Human Resources Department at 850.365.9659 for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.