PriorAuthorizationSpecialist

**Overview:** Schedule: M-F (Day shift, 40 hours per week) This is a temporary position without guarantee of conversion to full-time employment. **Job Description Summary:** Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies, including Medicaid and self-pay. Maintains current knowledge of changes in billing requirements and regulations and assists in resolving billing problems. **Job Description:** **Essential Functions:** * Verifies patient insurance coverage and eligibility for homecare services. * Processes and submits insurance claims for reimbursement. * Communicates with patients, insurance companies, and healthcare providers to resolve billing issues. * Maintains accurate and up-to-date patient records and billing information. * Monitors and tracks outstanding claims and follows up on unpaid or denied claims. * Ensures compliance with all relevant regulations and guidelines related to homecare billing and reimbursement. **Education Requirement:** High School Diploma or equivalent, required. **Licensure Requirement:** (not specified) **Certifications:** (not specified) **Skills:** (not specified) **Experience:** * Two years ofexperience billing public and private insurers for medical services using computerized billing system, required. * Homecare services experience, preferred. **Physical Requirements:** OCCASIONALLY: Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Standing, Walking FREQUENTLY: (none specified) CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting **Additional Physical Requirements performed but not listed above:** Talking on the phone / in person Frequently (34 - 66%) "The above list of duties is inten