Authorization and Benefits Specialist - Dubols Home Care
Laurel, MD 20707
About the Job
Insurance Authorization and Benefits Specialist.
Must have previous experience with Insurance Authorization processes.
Must live in Maryland.
Must have previous experience with Insurance Authorization processes.
Must live in Maryland.
- Position Title: Authorization and Scheduling Specialist.
- Reports to: Billing Supervisor.
- Status: Full-time, hourly.
- Pay: $45,000. - $52,000. Annually ($21.63 - $25.00/hour)-dependent on experience.
- Schedule: Weekdays, hours: 8:30 AM-5:30 PM with 1 hour lunch. No nights, no weekends.
Why work for Dubols Home Care: We are a home health services business located in Laurel, MD. For more than 20 years, we have been providing Home Care services to people recovering from surgery and illness at home. Our motto is "Health blossoms with tender care."
You will be working in a warm office environment cooperating with our small staff to achieve our goals together.
Benefits:
- Care First Blue Cross/Blue Shield Medical/Dental/Vision through an employer group plan with the employer contributing 30% to premiums.
- 401K plan with 3% employer match.
- PTO, Sick Leave, and paid holidays.
Duties:
- Collects and reviews all client insurance information needed to complete the benefit verification process.
- Verifies client-specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
- Complete the patient intake process from start to finish.
- Schedule clinicians with patient needing care for services such as Skilled Nursing, Physical Therapy and Occupational therapy.
Responsibilities:
- Ensures a client has prior medical insurance authorization before receiving certain health care procedures, services, and prescriptions.
- Maintain appropriate logs or reports according to professional state and federal requirements.
- Verify patients benefits and coordinate the verification of patient benefits.
- Monitor and track the client’s authorization, informing the supervisor of any expired date.
- Ensures that each client's insurance is active and current at all times.
- Obtain, input, and review insurance authorization referrals prior to patient services.
- Maintain weekly/monthly report of active patients.
- Monthly report of benefit eligibility.
- Scheduling patients with the appropriate clinician in a timely manner.
Equipment Operation:
- Use of a calculator, basic computer skills, copy machine, multi-line phone.
Required Skills:
- Exceptional organizational, customer service, communication, and decision-making skills required.
- Be familiar with medical coding.
- Strong computer skills.
- Data Entry and typing skills.
- Filing and organizational skills.
- Be able to listen carefully and pay attention to details.
- Working knowledge of MS Office.
Dubols Home Care is an Equal Opportunity Employer.
If you have questions, please call our office to speak to our HR Department: 301-497-8968.
About Dubols Home Care:
About Dubol's Home Care:Dubol’s Home Care is proud to be the #1 fastest responding Home Health Care company in the area. Our clients receive our nurses in their own homes the day after discharge. We work as a team with the client’s physician to attend to the healing process by providing RN and LPN visits, as well as Physical Therapists, Occupational Therapists, and more. Our company is driven by the vision that skilled care can be made convenient for the client so that they can simply focus on healing at home. Our mission is to provide that care with expertise, kindness, and efficiency.
Source : Dubols Home Care
