Authorization Specialist jobs in United States
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All American Home Care LLC ยท 1 month ago

Authorization Specialist

positionPhiladelphia, PA
timeFull-time
remoteOnsite
seniorityEntry, Mid Level
date2+ years exp

All American Home Care LLC is seeking a detail-oriented and proactive Authorization Specialist to join their team. This role supports branch management by ensuring accurate initial and ongoing payer authorization and eligibility verification for home care services.

Health CareHome Health CareMedical

Responsibilities

Verify insurance eligibility and authorization for current and potential clients promptly and accurately
Communicate authorization and eligibility details to Coordinators, CFO, and OM
Enter insurance demographic information and monitor ongoing authorizations in HHAeXchange
Notify management of non-coverage issues, perform timely re-authorizations, and process discharges
Review and ensure authorizations align with billed services
Handle payer correspondence, appeals, disputes, and remittances
Maintain compliance with HIPAA/state regulations while fostering positive communication with payers, clients, and branch staff
Demonstrate initiative in prioritizing tasks and continuously update knowledge to remain a resourceful payer expert
Participate in after-hours on-call as needed

Qualification

Insurance authorizationMedicare knowledgeMedicaid knowledgeHHAeXchange familiarityExcel proficiencyOrganizational skillsCommunication skillsDecision-making skillsIndependent work

Required

Minimum 2 years of experience in insurance authorization, billing, or business administration (health care/home care experience preferred)
Knowledge of Medicare, Medicaid, Waiver Programs, and third-party payer regulations
Strong organizational, communication, and decision-making skills
Ability to work independently with minimal supervision
Proficiency in computer skills; familiarity with HHAeXchange (UPR) and Excel is a plus
Successful completion of background studies and screenings

Company

All American Home Care LLC

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At All American Home Care Agency, we are dedicated to providing high-quality care to individuals of all ages who wish to remain in the comfort of their own homes.
dateFounded in 2013
location
Philadelphia, Pennsylvania, USA
people-size201-500 employees
web-link
https://myallamericancare.com/

Funding

Current Stage
Growth Stage

Leadership Team

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Michael Spivak
CEO
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Company data provided by crunchbase