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.
* 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.