Insurance Verification and Authorization Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Graham Healthcare Group

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2003

🏥 Healthcare

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare • Healthcare Insurance • Enterprise

Graham Healthcare Group is a company focused on delivering high-quality post-acute care services by partnering with health systems to provide care in patient homes and communities. They address the fiscal challenges faced by healthcare providers through innovative home-based care models and collaborative partnerships. With a commitment to improving population health, clinical performance, and patient experiences, Graham Healthcare Group uses a buy-and-hold strategy with permanent capital to ensure long-term partnerships. They serve over 80,000 patients annually, working closely with hospitals, health systems, and physician groups to enhance post-acute service lines and drive efficiency. Their main goal is to offer integrated care solutions that improve operational, financial, and clinical outcomes while reducing healthcare costs.

📋 Description

• Obtain detailed and accurate insurance benefit information through payer portals, phone, or fax • Validate and document payer information in the Homecare Homebase EMR • Document deductibles, copays, coinsurance, and out-of-pocket maximums • Monitor insurance verification and authorization task workflows • Review entitlement verification reports and investigate questionable responses • Review insurance changes and funding source update issues • Reverify Medicaid patients and current patient insurance monthly • Contact patients, hospitals, and physician offices to clarify benefits • Assist scheduling with funding source problems • Obtain and maintain initial, prior, ongoing, and reauthorizations • Maintain the authorization tab in Homecare Homebase • Provide requested clinical information to insurance companies • Follow up on authorization submissions and communicate approvals or denials to clinical staff • Assist billing with insurance verification and authorization discrepancies • Establish thorough knowledge of payer portals • Comply with company Core Values and Core Competencies • Perform other duties as assigned

🎯 Requirements

• Must live in the Eastern Time Zone • Must be willing to work every other Saturday • Associate degree or combination of experience and business courses preferred • Minimum of one year of previous experience in insurance verification, authorization, or medical billing • Proficiency in Microsoft Office Suite • Knowledge of Medicare, Medicaid, and third-party insurance and authorization requirements • Knowledge of insurance websites and payer portals • Knowledge of HomeCare Homebase preferred • Ability to think critically and act independently when resolving benefit discrepancies • Effective verbal and written communication skills • Ability to work independently and within a multidisciplinary team • Availability weekends, holidays, and after hours based on business needs • Must have and maintain in good standing a professional license, certificate, or registration, as applicable • Successful completion of a drug screen prior to employment • Legally authorized to work in the United States

🏖️ Benefits

• Medical benefits: health, vision, and dental insurance • 401K and pension with 4% employer contribution • 15 days PTO • Company-paid life insurance and disability benefits • Pre-tax FSA and HSA plans • 50% tuition discounts for selected Purdue and Kaplan courses • Competitive pay with opportunity for advancement