Prior Authorizations Specialist

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?

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MUST have at least 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 :

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C ustomer Second (Employee First!)

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A ccountability

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P assion for Learning

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L ove One Another

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I ntelligent Risk Taking

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C elebration

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O wnership

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