Job description
Join Our Team as an Insurance Prior Authorization Specialist at Puget Sound Home Health & Hospice. On-site or remote in PST or MST time zones only.
Benefits:
$23-28 per hour, DOE
Comprehensive Medical, Dental, and Vision insurance
Free health concierge services
FSA and HSA accounts
Paid Life and AD&D insurance
Paid Sick, Holidays, and PTO
STD, LTD, and other voluntary insurance plans
Company-wide celebrations of your great work & accomplishments
Support for your professional growth and development
Room for advancement
AMAZING teammates & leaders who are supportive, inclusive, and fun!
What Do We Require of a Prior Authorization Specialist?
MUST have atleast 1 year of insurance authorization/billing experience in home health/hospice.
Experience with Home Care Home Base is required
Prefer onsite but will consider remote if candidate lives in PST or MST time zones
Demonstrated cooperation and excellent customer service skills
Ability to multi-task and stay on task in a fast-paced office
Excellent team-oriented, verbal, and written communication skills
Key Responsibilities:
Verify insurance coverage, including primary and secondary payors
Use UGS/DDE and EDS programs to verify Medicare/Medicaid eligibility
Obtain visit authorization via payor by providing appropriate medical records
Perform accurate data entry in patient records within HCHB
Maintain payor files with up-to-date requirements to obtain/initiate appeals for denied authorizations
Interface with contract, clinical, and office staff to foster collaboration and positive working relationships
Prepare patient co-pay estimates and notify scheduling of authorized visits
Provide excellent customer service to patients, referral sources, and community contacts with questions regarding payor prior authorizations and medical guidelines
Enter, audit, and follow up on authorized and unauthorized visits within HCHB
Why Puget Sound Home Health & Hospice?
At Puget Sound Home Health & Hospice, we pride ourselves on our quality of care and ethical business practices, guided by our foundational Core Values of CAPLICO:
Customer Second (Employee First!)
Accountability
Passion for Learning
Love One Another
Intelligent Risk Taking
Celebration
Ownership
www.pugetsoundhhh.com
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.