Authorization & Eligibility Clerk – Hospice

🔥 1 minute ago

🤠 Texas – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Addus HomeCare

Addus HomeCare

10,000+ employees

Founded 1979

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Home Health

Addus HomeCare is a provider of quality in-home supportive services that enable individuals to maintain their health and independence while remaining in their homes. With over 40 years of experience, Addus offers a range of services including in-home care, home health, and hospice care to patients across various states. Their dedicated caregivers focus on providing compassionate support tailored to the unique needs of each individual, ensuring comfort and confidence for patients and their families.

📋 Description

• Track and request all authorizations for private insurance patients in Hospice • Communicate authorization dates and accurate authorization information to staff • Follow appropriate insurance guidelines for submittals • Follow up on authorizations not yet received • Modify processes to improve authorization workflows and provider relationships under the Billing Manager's supervision • Minimize denied authorizations • Schedule authorizations upon receipt • Enter staff schedules for private-pay clients weekly • Verify client insurance eligibility monthly • Report unauthorized visits monthly • Maintain punctuality, attendance, and adherence to the work schedule and dress code • Perform other related duties assigned by the Supervisor

🎯 Requirements

• Hospice Commercial authorization experience required • Home health & Hospice experience required • HCHB experience preferred • Insurance experience preferred, including running/reading eligibilities and requesting authorizations • Knowledge of medical terminology and/or general medical background • Ability to work with little supervision and make appropriate judgments • Excellent organizational and interpersonal skills • Dependable and tactful; ability to follow orders • Ability to manage multiple deadlines • Advanced computer skills • Excellent customer service skills • Proficient in Excel and Microsoft Word • Ability to work Monday through Friday, 9am–6pm CST, with an hour lunch • Availability for an on-call rotation for evenings and weekends

🏖️ Benefits

• Medical, Dental and Vision Benefits • Continued Education • PTO Plan • Retirement Planning • Life Insurance • Employee discounts

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