Authorization Specialist Job at Hearst Health, Dallas, TX

eVlLVThvQTE0aDFBNjRuRm5FL25ReFUzNGc9PQ==
  • Hearst Health
  • Dallas, TX

Job Description

The Opportunity

Homecare Homebase is searching for a Home Health and Hospice Authorization Specialist who will be responsible for complete and accurate oversight of the HCHB authorization process and case management.

The Challenge

At Homecare Homebase, we help home health and hospice organizations across the nation overcome the business and technological challenges that stand in the way of patient care and efficiency. As a Home Health and Hospice Authorization Specialist, you will play an essential role in ensuring accurate obtainment of authorization and recertification needs for our customers so that they can focus their time and energy on delivering high quality patient care.

Responsibilities


  • Oversight of the insurance authorization process regarding case management and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system.
  • Review and build effective communication bridges with HCHB RCS clients at both the central and branch agency level to assist or explain exceptions.
  • Perform routine review of appropriate workflows and redirect workflows as needed.
  • Demonstrate ability to solve problems independently and at an optimal level.
  • Coordinate communication with clients contracting and clinical departments on payor related issues as appropriate.
  • Follow written and verbal communications.


What We're Looking For
  • Highly organized individuals who display a strong attention to detail.
  • Experience with a knowledge of Availity, MyNexus, Zirmed, Ability, and other common clearinghouses.
  • Analytical thinkers with strong written and verbal communication skills.
  • Team players who are passionate about their work and will actively contribute to a positive, collaborative environment.
  • 1+ year experience directly completing insurance verifications and requesting authorizations in the home health and hospice space.
  • Ability to work any shift between 7am and 7pm and rotating Saturday schedule.


Education requirements: This career opportunity requires a high school diploma.

What You Can Expect From Us

At Homecare Homebase, we don't just help our clients succeed; we help our employees succeed. Competitive pay, robust benefits, and professional development opportunities are a few of the many reasons that Homecare Homebase is a great place to build your career. Above all, employees are part of a work environment where we live our CARES values: Care, Act, Respect, Excel, and Smile.

Our Team Members Also Enjoy


  • Meaningful work. Our employees often tell us that their work gives them a sense of purpose because it makes a difference in the lives of clinicians and homecare staff, as well as the patients they serve.
  • A Leader who cares. President Luke Rutledge has made it his mission to create a culture that cares - one that appreciates and takes good care of its people. As a result, being an employee of HCHB feels like being a member of a big family.
  • Flexibility. We value work-life balance because we know that happy employees create happy clients. That's why Homecare Homebase offers both full and part-time career opportunities to fit life's unique demands.
  • A company that gives back. Every year, Homecare Homebase proudly supports numerous charitable fundraising initiatives that align with our mission of empowering exceptional care and helping others in need.



About Homecare Homebase

Founded in 1999, Homecare Homebase is dedicated to helping our clients overcome business and technological challenges that stand in the way of clinical outcomes and operational efficiency. We work with home health and hospice organizations to tackle problems big and small. Our services are rooted in systems thinking and reach across the entire organization from Intake to Discharge to achieve transformative results.

Sound like a good fit? Please take a moment to apply for this position. This position does not provide sponsorship. All applicants should either be US Citizens or Permanent Residents eligible to work in the US without immigration restrictions.

#J-18808-Ljbffr

Job Tags

Permanent employment, Full time, Part time, Shift work,

Similar Jobs

Freeport-McMoRan Inc.

Diagnostic Electrician - Mine Maintenance Job at Freeport-McMoRan Inc.

 .... What You Will Do Removal, repair and installation of electrical components, electrical systems, analysis and diagnosis, advanced...  ...non-routine repairs and construction. Perform preventative maintenance including installation, repair and troubleshooting of... 

The Judge Group

Scrum Master (Chicago) Job at The Judge Group

 ...where problems can be raised and resolved Continually improve Scrum Master skills through education and engaging with fellow Scrum...  ...sprint demos, planning and retrospectives II. SKILL AND EXPERIENCE REQUIRED: [Required] Understands Agile values and principles... 

New Jersey Staffing

IT Service Delivery Manager Job at New Jersey Staffing

 ...IT Service Delivery Manager The IT Service Delivery Manager is responsible for leading NJM's service management strategy, driving ITSM maturity, and ensuring alignment with business values. This role champions collaboration, accountability, and continuous improvement... 

Manpower Engineering

VH6 Associate Job at Manpower Engineering

 ...a leader in advanced vehicle operations, is looking for a VH6 Associate to join their Mission Readiness team at test sites in the Miami...  ...it done attitude~ Pass background check, MVR check, and drug screen Preferred: ~ Technical trade school certificate or... 

Graphic Packaging Holding

Manufacturing Associate Manager - Paper MachineEmpty heading Job at Graphic Packaging Holding

 ...Manufacturing Associate Manager - Paper Machine At Graphic Packaging International, we produce the paper cup that held your coffee this morning, the basket that transported those bottles of craft beer you enjoyed last weekend, and the microwave tray that heated your...