优先授权专员
Prior Authorizations Specialist
加入普吉特海湾居家医疗与临终关怀团队，担任保险预授权专员。仅限在太平洋时间区（PST）或山地时间区（MST）的现场办公或远程办公
福利：
- 每小时23-28美元，根据经验而定
- 全面的医疗、牙科和视力保险
- 免费健康顾问服务
- FSA和HSA账户
- 付费的寿险和意外险
- 有薪病假、节假日和带薪休假
- 短期伤残（STD）、长期伤残（LTD）及其他自愿保险计划
- 庆祝你的出色工作和成就
- 支持你的职业成长和发展
- 有晋升空间
- 非常棒的同事和领导，他们支持、包容且有趣！
我们对预授权专员的要求：
- 至少1年居家医疗/临终关怀的保险授权/计费经验
- 必须有使用Home Care Home Base的经验
- 更倾向现场办公，但若候选人居住在PST或MST时区，也考虑远程办公
- 展现出良好的合作精神和优秀的客户服务技能
- 能够在快节奏的办公室中多任务处理并保持专注
- 优秀的团队协作、口头和书面沟通能力
主要职责：
- 核实保险覆盖范围，包括主要和次要支付方
- 使用UGS/DDE和EDS程序核实Medicare/Medicaid资格
- 通过提供适当的医疗记录从支付方获取访问授权
- 在HCHB中准确录入患者记录的数据
- 维护支付方文件，确保符合最新要求，以获得/启动被拒授权的上诉
- 与合同、临床和办公室员工对接，促进协作和积极的工作关系
- 准备患者自付费用估算，并通知排班人员已授权的访问
- 为患者、转诊来源和社区联系人提供关于支付方预授权和医疗指南的优质客户服务
- 在HCHB中录入、审核并跟进已授权和未授权的访问
为什么选择普吉特海湾居家医疗与临终关怀？
在普吉特海湾居家医疗与临终关怀，我们以我们的护理质量和道德商业实践为荣，遵循我们的核心价值观CAPLICO：
- 员工第一，客户第二
- 责任感
- 学习的热情
- 相互关爱
- 有智慧的风险承担
- 庆祝
- 所有者意识
www.pugetsoundhhh.com
该职位的雇主在招聘启事中说明。Pennant Group, Inc. 是一家独立运营子公司的控股公司
查看英文原文
Join Our Team as an Insurance Prior Authorization Specialist at Puget Sound Home Health & Hospice. On-site or remote in PST or MST time zones only.
Benefits:
- $23-28 per hour, DOE
- Comprehensive Medical, Dental, and Vision insurance
- Free health concierge services
- FSA and HSA accounts
- Paid Life and AD&D insurance
- Paid Sick, Holidays, and PTO
- STD, LTD, and other voluntary insurance plans
- Company-wide celebrations of your great work & accomplishments
- Support for your professional growth and development
- Room for advancement
- AMAZING teammates & leaders who are supportive, inclusive, and fun!
What Do We Require of a Prior Authorization Specialist?
- MUST have atleast 1 year of insurance authorization/billing experience in home health/hospice.
- Experience with Home Care Home Base is required
- Prefer onsite but will consider remote if candidate lives in PST or MST time zones
- Demonstrated cooperation and excellent customer service skills
- Ability to multi-task and stay on task in a fast-paced office
- Excellent team-oriented, verbal, and written communication skills
Key Responsibilities:
- Verify insurance coverage, including primary and secondary payors
- Use UGS/DDE and EDS programs to verify Medicare/Medicaid eligibility
- Obtain visit authorization via payor by providing appropriate medical records
- Perform accurate data entry in patient records within HCHB
- Maintain payor files with up-to-date requirements to obtain/initiate appeals for denied authorizations
- Interface with contract, clinical, and office staff to foster collaboration and positive working relationships
- Prepare patient co-pay estimates and notify scheduling of authorized visits
- Provide excellent customer service to patients, referral sources, and community contacts with questions regarding payor prior authorizations and medical guidelines
- Enter, audit, and follow up on authorized and unauthorized visits within HCHB
Why Puget Sound Home Health & Hospice?
At Puget Sound Home Health & Hospice, we pride ourselves on our quality of care and ethical business practices, guided by our foundational Core Values of CAPLICO:
- Customer Second (Employee First!)
- Accountability
- Passion for Learning
- Love One Another
- Intelligent Risk Taking
- Celebration
- Ownership
www.pugetsoundhhh.com
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
Originally posted on Himalayas