Authorization & Eligibility Clerk (Hospice) Remote

The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health & Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred by not required. Hospice Commericial authorization experience requires.

1. Track and request all authorizations for private insurance
2. Make modifications to improve the authorization process and relationships with provider 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.

1. Insurance experience preferred - running/reading eligs, requesting authorizations
2. HCHB experience preferred
3. Home health & Hospice experience required
4. Possess knowledge of medical terminology and/or possess general medical background
5. Ability to work with little supervision and make appropriate judgments
6. Excellent organizational skills, and interpersonal skills.
7. Must be dependable, tactful and ability to follow orders.
8. Demonstrate ability to manage multiple deadlines.
9. Must have advanced computer skills.
10. Must have excellent customer service skills.
11. Must be proficient in Excel and Microsoft Word.