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Prior Authorization Coordinator

Company: Encompass Health
Location: Hattiesburg
Posted on: January 16, 2022

Job Description:

Division: Home Office

Location Options: Murray, UT, Hattiesburg, MS, Dallas, TX

Hours: Monday - Friday, 8:00am - 5:00pm

Are you in search of a new career opportunity where you are the connection? If so, now is the time to choose Encompass Health as your employer. The Home Health & Hospice division of Encompass Health is hiring!

Subject To Employee Eligibility, Some Benefits, Tools, And Resources Include

Ever-mindful of the need for employees to care for themselves and their families, Encompass Health offers benefits that encourage lifestyle choices that keep you healthy and happy.
Generous time off with pay for full-time employees
Continuing education opportunities
Scholarship program for employees and their children
Matching 401(k) plan for all employees
Comprehensive insurance plans for medical, dental, and vision coverage for full-time employees
Supplemental insurance policies for life, disability, as well as critical illness, hospital indemnity and accident insurance plans for full-time employees
Flexible spending account plans for full-time employees
Minimum essential coverage health insurance plan for all employees
Electronic medical records & mobile devices for all clinicians

Responsibilities

Encompass Health - Home Health & Hospice is searching for a Prior Authorization & Insurance Verification Coordinator to join our team. The person selected for this role can sit at one of our regional corporate offices in Murray, UT, Hattiesburg, MS, or Dallas, TX.

The Prior Authorization & Insurance Verification Coordinator is responsible for verifying and obtaining authorization as required by insurance companies dependent upon the plan coverage for all patients.

Responsibilities
Provide accurate and complete data input for pre-certification request and for providing excellent customer service.
Handle all functions of the authorization process including initiation, tracking and status follow-up for patients to ensure authorization and re-authorization for coverage of services.
Verify Medicare, commercial insurance and Medicaid coverages and request initial authorization and re-authorization of home health visits.
Collect information required by the insurance company to render authorization decisions.
Contact patients for updated insurance information.
Assist with month end reporting and logistical and/or problem resolution related to patient's medical record, authorization and billing issues.

Qualifications

Education and Experience:
Must have a high school diploma or equivalent. Two years of college or professional school is preferred.
One year of third party eligibility verification experience is preferred.
At least one year experience in insurance authorizations is preferred.
One year experience with international classification of diseases (ICD)-10 or current procedural terminology (CPT) codes, or healthcare common procedure coding system (HCPCS) is preferred.
Must have typing and clerical skills, and be competent with computers.
Must be organized with the ability to communicate effectively, orally and in writing.
Must be able to manage multiple tasks simultaneously.

Requirements: Must possess a valid state driver license. Must maintain automobile liability insurance as required by law.

Keywords: Encompass Health, Hattiesburg , Prior Authorization Coordinator, Other , Hattiesburg, Mississippi

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