

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills. Ready to help team achieve company goals.
Primary role is submissions process for authorizations. At times verify coverage and communicate with branches to resolve any discrepancies. Responsibilities include obtaining payor authorization for home health services, e.g., number of visits by discipline, and communicates to the Branch as soon as possible to avoid disruption in patient services staying current with insurance requirements, maintaining documentation of denied and/or approved authorization, and problem-solving cases as needed. Other duties include follow-up on missing or inaccurate information and coordination with Branch staff.
Manage inquiries regarding referral status & the authorization process & any related issues in a courteous & professional manner.
Requests additional authorization from the patient's payor for ongoing visits in accordance with the patient's plan of care and/or physician orders for services.
Completes workflow tasks and other assignments in the Agency's electronic medical record in a timely manner.
Taking incoming phone calls for the department, documenting and disseminating messages as appropriate, handling emails, distributing documents as needed. Provide effective communication to team members and other health care professionals and maintain confidentiality. Work with great urgency and accuracy to complete tasks within strict turnaround time guideline.