Envision Healthcare

  • Insurance Verification Specialist

    Job Locations US-WI-Marshfield
    Company Ascension At Home
    Requisition ID
    2018-14041
    # of Openings
    1
    Category
    Home Health
  • Overview

    Wheaton Franciscan Home Health and Hospice, an Ascension At Home company, has an immediate opening for a full-time Insurance Verification Specialist for our Marshfield office

     

    Primary responsibility is to obtain and track authorization/re-authorization for home health care services for new or existing patients in accordance with their third-party payor policies while following all federal, state, and local regulations including Medicare and Medicaid guidelines.

    Responsibilities

    • Obtain authorization for home health care services for new patients whose insurance requires authorization for services.
    • Obtain re-authorization for home health care services for existing patients as their authorization expires.
    • Track authorizations for patients whose health care insurance requires authorization.
    • Communicate with field staff case manager and scheduling regarding authorization obtained, amounts, date ranges, and limits.
    • Obtain retro-authorizations as needed.
    • Communicates with Clinical Manager for difficulties obtaining insurance authorization.
    • Adhere to all company policies and procedures.
    • Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.  Report information systems security problems.

    Qualifications

    Education/Licensing/Certification:

    • High School Diploma or General Equivalency Diploma

     

    Experience:

    • One year of insurance authorization experience

     

    Knowledge and Skills:

    • Knowledge of insurance policies for home care authorizations
    • Excellent computer skills
    • Excellent interpersonal skills
    • Excellent organizational skills

     

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