The posting
We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values CAPLICO- - -Celebrate, Accountability, Passion for Learning, Intelligent Risk Taking, Customer Second, and Ownership. How we do it: CELEBRATING successes large or small. We hold each other ACCOUNTABLE with respect and professionalism. Our PASSION FOR LEARNING allows us to teach our team members the latest and most advanced Home Health and Hospice education. Our LOVE ONE ANOTHER atmosphere shows we work as a team with trust and compassion. The growth we have experienced reveals that we are INTELLIGENT RISK TAKERS with our processes and procedures. But what really sets us apart from all the others is our CUSTOMER SECOND philosophy. Employees are our main and most important focus. We achieve job fulfillment by promoting OWNERSHIP through the independence that Home Health and Hospice offers. We want you to join us as we provide LIFE CHANGING SERVICE to all those we touch.
Job Description Summary
The Authorization Specialist obtains insurance verification on patient admissions and recertification’s and works with Billing and Patient Care Staff to resolve issues.
Essential Job Functions/Responsibilities
- Contact insurance company/case managers to verify patient insurance coverage and obtain information concerning the extent of benefits.
- Utilize the UGS/DDE and EDS computer programs to verify eligibility for Medicare and Medicaid, and thoroughly research any possible secondary payers.
- Prepare insurance verification form with data such as names of insurance company and policyholder and policy number. Accurately enters insurance information into Homecare Homebase (HCHB).
- Prepare estimates of patient copayment for clinician to deliver to patient and notifies clinician of preauthorized visits.
- Enters visit authorizations into HCHB computer system and maintains an audit system for additional visit authorization needs. Reports unauthorized visits to supervisor when applicable.
- Maintains audit system for tracking True Blue authorizations for recertification.
- Maintains audit system for tracking hospice recertification’s.
- Submit CHAPS reporting for both Home Health and Hospice (critical)
Position Qualifications
- Strong written and oral communication skills in person and over the phone.
- Excellent customer service skills
- Strong team skills
- Organized
- Flexible—responds well to changing priorities and conditions
Symbii Home Health & Hospice Idaho
Symbii Home Health and Hospice is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.
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 http://www.pennantgroup.com.
