ProHealth Home Health and Hospice · 8 hours ago
Authorization and Benefit Clerk - ProHealth Home Health & Hospice (Centre, AL)
ProHealth Home Health and Hospice is seeking an Authorization and Benefit Clerk to support their operations. The role involves verifying insurance payers, obtaining necessary authorizations, and managing patient scheduling while maintaining professional communication with clinical staff.
Hospital & Health Care
Responsibilities
Verifying all payers assigned in a timely manner
Managing and maintaining a professional relationship and professional communication with all internal and external customers
Obtaining authorization in a timely manner for all assigned payers that require authorization
Follow up on any pending/outstanding authorization in a timely manner
Maintaining office space and reception areas
Work with billing on follow up work needed for retro pre-cert, billing issues, and/or authorization denials
Overseeing office and medical supply inventories
Managing email and mail traffic timely
Maintaining forms and packages as directed by supervisor
Other duties as assigned
Qualification
Required
H.S. Diploma or GED
Previous experience with insurance verification/authorization preferred
Prior scheduling experience preferred
Computer skills including but not limited to MS Office, Excel, Word, Outlook, and Scheduling program(s)
Interpersonal, organizational and communication skills
Ability to carry out directions, read and write
Maturity and ability to deal effectively with the demands of the job
Basic medical terminology
Verifying all payers assigned in a timely manner
Managing and maintaining a professional relationship and professional communication with all internal and external customers
Obtaining authorization in a timely manner for all assigned payers that require authorization
Follow up on any pending/outstanding authorization in a timely manner
Maintaining office space and reception areas
Work with billing on follow up work needed for retro pre-cert, billing issues, and/or authorization denials
Overseeing office and medical supply inventories
Managing email and mail traffic timely
Maintaining forms and packages as directed by supervisor
Other duties as assigned
Ability to participate in physical activity
Ability to work for extended periods of time while sitting, standing and/or being involved in physical activity
Moderate lifting
Ability to do moderate bending, lifting, and standing on a regular basis
Preferred
Previous experience with insurance verification/authorization preferred
Prior scheduling experience preferred