Job Description

SUMMARY:

Primary function is to obtain home health authorizations for all services ordered for each payer (Medicare replacement, Medicaid and commercial plans) that requires an authorization. This position is a Part Time position with the potential to be converted to a Full Time position based on future Home Health Census achievement and thus the subsequent sustainability as well as the performance of the individual. The part time hours are Monday-Friday approximately 20-25 hours and if converted to a Full Time position the hours would be Monday-Friday 8:30am-5:00pm for a total of 40 hours per week. The pay rate for this position is $15/hour. If converted to a Full Time position the employee would have access to all of our FT benefits (health and dental insurances, PTO, tuition reimbursement, etc)

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Obtains authorizations in a timely manner

 Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program

 Receives MD order and coverage authorization from agency designee.

 Works closely with agency to meet established timelines

 Works closely with and supports team efforts to accomplish authorization/verification

 Requests authorization from insurance company Case Managers to provide specific services and parameters of care

 Provides effective communication to patient/family, team members, and other health care professionals and maintains confidentiality

 Adheres to all company policies and procedures.

 Provides supportive services to other office staff, such as scheduling, intake and answering phones

 Performs other duties as assigned.

MINIMUM QUALIFICATIONS:

EDUCATION/LICENSING/CERTIFICATION:

 High School Graduate or equivalency.

EXPERIENCE:

 One or more years of pre-authorization, authorization or billing experience required.

 Experience in the health care billing preferred

 Utilization management experience and pre-certification helpful.

 Customer Service experience

KNOWLEDGE AND SKILLS:

 Knowledge of insurance policies for home care authorizations

 Ability to establish and maintain effective working relationships with all segments of the branch staff, billing and collections department and, insurance representatives

 Self-Starter and able to work independently

 Ability to multi-task

 Usage of Medical Terminology

 Strong negotiation and conflict management skills

 Computer literate and can learn new software programs

 Can use basic office equipment including but not limited to desktop computers, printers, fax machines, telephones.

TRAINING:

 Will receive orientation and pre-service training on operations of Aging True.

 Will attend pertinent in-service training’s as schedule permits.

Anyone with these skills that is interested in this position please submit your resume to Ziprecruiter for consideration.

AGING TRUE IS AN AFFIRMATIVE ACTION EMPLOYER

AGING TRUE IS AN EQUAL OPPORTUNITY EMPLOYER

AGING TRUE IS A DRUG FREE WORKPLACE

Company Description

Aging True, is a non-profit organization based in Jacksonville, Florida. We provide a wide variety of important services to seniors and disabled adults in both Duval and Clay Counties.