Verification/Authorization Coordinator

About This Role

The Verification/Authorization Coordinator ensures accurate and compliant processing of referral information and authorizations for a home health and hospice company, supporting efficient client and payor information collection.

Responsibilities

• Review referral information for accuracy in the applicable EMR system supplied by the care center
• Obtain authorizations where required while maintaining compliance with medical record confidentiality regulations
• Obtain information from agencies when necessary to assist with receiving authorizations and re-authorizations from private insurance and all other payor sources
• Assist other departments and care centers in the efficient collection of client and payor information to ensure accuracy
• Enter all patient benefit and authorization information into the applicable EMR system
• Respond to calls, emails, and other inquiries regarding the status of outstanding referrals and/or authorization information
• Provide other administrative support to the department as needed

Requirements

• High school diploma or equivalent
• Two years' experience in a medical office/home health benefit verification or billing
• Demonstrated knowledge of commercial insurance carriers' guidelines and criteria of verification, authorization, and reimbursement
• Familiar with insurance billing and terminology

Qualifications

• High school diploma or equivalent
• Two years' experience in a medical office/home health benefit verification or billing

Nice to Have

• Post-secondary education or training in business or medical billing/collections

Benefits