Job Directory Addus HomeCare Re-authorization Specialist
Addus HomeCare

Re-authorization Specialist Addus HomeCare
Frisco, TX

Addus HomeCare is one of the nation's largest and fastest growing providers of personal home care and support services.

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About Addus HomeCare

Job Description

Re-authorization Specialist

Position Summary: The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods.

Essential Duties:

* Based upon documentation provided able to determine clients whose authorization is about expire
* Determine reauthorization process for payors assigned and establish payor contacts to facilitate timely reauthorization request.
* Properly and accurately enter client authorization and careplans where necessary into designated system
* Alerts appropriate management team members regarding late or missing documents required for reauthorization request.
* Establishes and maintains positive working relationships with clients, payers, and other customers.
* Maintains the confidentiality of client and organization information at all times
* Complete and manage all paperwork or supportive documentation required for performing effective authorization request
* Resolve client/payor issues in a timely manner
* Re-verify client eligibility, monitor insurance lifetime caps and prior authorization periods
* Performs other specific projects relating to billing, authorization, data entry, and computer operations as required.

Position Requirements & Competencies:

* High school diploma or GED equivalent, some college preferred
* 1-2 years of recent experience working in a health care setting and insurance authorizations
* Excellent written and oral communication skills
* Excellent customer service skills
* Must be computer literate and possesses knowledge of computer software, Microsoft Excel (advance skills preferred), internet, Word and Outlook
* Dependable, conscientious and reliable
* Ability to analyze and interpret situations to complete tasks or duties assigned
* Detail oriented, strong organizational skills

About Addus HomeCare

Addus HomeCare is one of the nation's largest and fastest growing providers of personal home care and support services.

Headquarters
Size
4875 employees
Addus HomeCare

6801 Gaylord Pkwy #110

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