Job Description

Insurance Preauthorization Specialist

NHC HomeCare TN Regional is looking for an Insurance Preauthorization Specialist to join our team. Responsible for verifying and obtaining authorizations from insurance companies under the plan coverage for all appropriate patients. Communicates with patients regarding updated insurance information where applicable and coordinates the information with clinicians.

Qualifications:

• High School Diploma.
• One year business/healthcare education or equivalent experience required.
• One year experience working in a group practice or healthcare system preferred.
• Experience in computer data entry, accounting, related field, or general office work desirable.
• Understanding of home care operations related to patient intake and ongoing care.
• Ability to prioritize tasks and duties.
• Must be able to work independently and on a team, with attention to detail and accuracy.
• Must be able to provide excellent customer service.

Specific Responsibilities:

According to HomeCare policies/procedure, under the direction of the Director, Accounts Receivable:

• Receives, researches and corrects patient authorization information
• Enters all authorizations into the NHC computer system, in a timely manner
• Communicates and works with clinical staff on authorizations on all patients
• Works with and assists the billing department in researching and resolving all claims
• Keeps management informed regarding changes in authorization process.
• Establishes and maintains a professional relationship with all staff in order to resolve problems and increase knowledge of authorization management
• Makes photocopies for the corporate packet.
• Educates /communicates with agency staff.
• As necessary, works improvement plan with leadership to raise work quality standards.
• Attends appropriate workshops to enhance performance.
• Performs miscellaneous typing, data entry, filing, copying duties.
• Other duties as assigned.

National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care. Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.

The NHC environment is one of encouragement and challenge... innovation and improvement... teamwork and collaboration... and honesty and integrity. All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.

If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us.

EOE

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