Re-authorization Specialist Addus Homecare
Frisco, TX

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