BAYADA Home Health Care
Home Health Care
AuthorizationAssociate
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Authorization Associate at BAYADA Home Health Care. Skills: Authorization, Insurance carriers, Revenue cycle management. Obtain authorization for care from insurance carriers. Provide denial support”
Industry & Context.
Mitigate claim/EDI errors and denials
What They're Looking For.
Must Have
Four (4) year college degree, Basic PC skills
Nice to Have
Prior healthcare and/or home care experience, One (1) year of relevant work experience obtaining authorizations and verifying eligibility, Demonstrated record of interpersonal skills and building relationships, Self-motivated, flexible, and versatile, customer service skills, Demonstrated record of goal achievement, Proven ability to multitask and manage competing priorities, Ability to sort and arrange information and files in an appropriate manner
What You'll Do.
Obtain authorization for care from insurance carriers
Provide denial support
Serve as liaison between service office providers
and revenue cycle management
Communicate clients’ coverage
Support authorization and eligibility workflow
Communicate with insurance companies via portals
phone or other third-party systems
Submit appeals to insurance companies
Obtain denial letters from primary insurance companies
Review and interpret authorization for services rendered
How You'll Work.
Team & Collaboration
Serve as liaison between service office providers, insurance carriers, and revenue cycle management functions; Communicate effectively and maintain positive working relationships with insurance companies, referral sources, service offices, etc.; Provide any support to revenue cycle teams regarding authorization discrepancies or payor requirement changes
Communication Scope
Effectively communicate clients’ coverage; Communicate with insurance companies; Communicate with referral sources; Communicate with service offices
Full Job Description
POSITION SUMMARY: The Associate, Authorization is a position responsible for ensuring that patient care services are ready to bill accurately and in a timely manner. The primary responsibility of the role is to obtain authorization for care from insurance carriers and provide denial support. This position will serve as a liaison between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and support is required to obtain insurance authorization and effectively communicate clients’ coverage. MINIMUM QUALIFICATIONS: Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability. Four (4) year college degree. Prior healthcare and/or home care experience preferred. One (1) year of relevant work experience obtaining authorizations and verifying eligibility is preferred. Demonstrated record of strong interpersonal skills and building relationships Self-motivated, flexible, and versatile. Strong customer service skills. Demonstrated record of goal achievement. Basic PC skills required to perform job functions. Proven ability to multitask and manage competing priorities. Ability to sort and arrange information and files in an appropriate manner. PRIMARY RESPONSIBILITIES: Demonstrate and communicate the core values of BAYADA and The BAYADA Way. Develop working knowledge of BAYADA’s mission, services, people, organization, policies and procedures. Provide backup support for routine support questions. Meet metrics that support BAYADA’s goals and objectives and measure effectiveness. Prepare reports and presentations using Microsoft Office (Word, Excel, PowerPoint etc.). Support annual audits and compliance reviews, as needed. Learn various aspects of the organization through technology training, hands-on learning, cross-training and site visits. Support authorization and eligibility workflow within appropriate system/ s. Communicate effectively and maintain positive working relationsh
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