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Prior Authorization & Insurance Verification Specialist

Job Description

Division: Home Office

Location: 100 Gateway Center Parkway, Richmond, VA 23235

Hours: Monday - Friday, 8:30am - 5:30pm


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!

 

As a national leader across home health, hospice, and inpatient rehabilitation hospitals, Encompass Health is consistently ranked as a top best-place-to-work in the communities we serve.

  • At Encompass Health, we continually invest in employees to assist in them achieving personal goals and make meaningful, measurable differences in the lives of their patients.

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. Subject to employee eligibility, some benefits, tools, and resources include:

  • Generous time off with pay for full-time employees
  • 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

Responsibilities

Encompass Health - Home Health & Hospice is searching for an Authorization Coordinator to join our home health billing team in Richmond, Virginia.

 

The Authorization 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

The right person for this role will possess a positive attitude, exceptional multitasking skills, and strong attention to detail. 

 

  • Minimum of 6 months of medical records experience in a clinic, hospital, or home health setting. 
  • Previous experience working with an EMR system is strongly preferred, Homecare Homebase (HCHB) is a plus
  • One year of experience in insurance authorizations is preferred.
  • Must possess a high school diploma or equivalent. 
  • Excellent customer service skills. 
  • Advanced typing and computer skills. 

Requirements:

  • Must possess a valid state driver license
  • Must maintain automobile liability insurance as required by law