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Team Select Home Care

Authorization Specialist

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$50,722 / year median in Colorado

+21% projected growth

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Job Description

Authorization Specialist Team Select Home Care - 3.8 Aurora, CO Job Details Full-time $18 - $21 an hour 1 day ago Benefits Health savings account Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Parental leave Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Interpersonal skills Intake Writing skills Employee relationship building High school diploma or GED Driver's License Data entry Data interpretation Full Job Description The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM.
Duties/Responsibilities:
Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care Data entering all authorization information into the system Verifying accuracy in payor setup in EMR for all active policies Maintain electronic record of all authorizations Run reports daily, weekly, and monthly for department Communicate with both internal and external customers to ensure authorizations are utilized accurately Performs other duties as assigned Excellent verbal and written communication skills with ability to communicate across all levels of field-based leadership Demonstrates high degree of organization and problem solving Able to effectively deal with change Able to complete projects and tasks within specific timetables Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner Requires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive information Requires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situations Requires the ability to interpret, adapt and react calmly under stressful conditions Must be able to relate cooperatively and constructively with clients and co-workers
High School Diploma or Equivalent Pay Range:
$18 - $21 / hour
COOA-CO Job Type:
Full-time Pay:
$18.00 - $21.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Retirement plan Vision insurance
Experience:
Health Care Authorization:
1 year (Required)
License/Certification:
Driver's License (Required) Ability to
Commute:
Aurora, CO 80014 (Required)
Work Location:
In person