Prior Authorization Specialist

Join Our Team as a Remote Insurance Authorization Specialist at Puget Sound Home Health & Hospice.

***All remote candidates MUST have Home Health or Hospice agency experience AND have HCHB experience to be considered. If your resume doesn't reflect this please send a message indicating this experience or your application will be rejected. 

Must be available to work business hours , 8 am to 5 pm Pacific Standard Time.

We are not able to hire in the following states: Maine, New York, Massachusetts, Connecticut, New Hampshire, and Hawaii.

For those who reside locally, we are willing to train in our Tacoma, WA office with the required one year of insurance authorization experience regardless of industry.

Benefits:

• $20-28 per hour, DOE
• Comprehensive Medical, Dental, and Vision insurance
• Free health concierge services
• FSA and HSA accounts
• Paid Life and AD&D insurance
• Paid Sick, Holidays, and PTO
• STD, LTD, and other voluntary insurance plans
• Company-wide celebrations of your great work & accomplishments
• Support for your professional growth and development
• Room for advancement
• AMAZING teammates & leaders who are supportive, inclusive, and fun!

What Do We Require of a Prior Authorization Specialist?

• ***Please see the note at the top of the job posting.
• At least 1 year of insurance authorization/billing experience in a medical office, preferably home health/hospice. Must have this experience if remote.
• Experience with Home Care Home Base is strongly preferred
• Demonstrated cooperation and excellent customer service skills
• Ability to multi-task and stay on task in a fast-paced office
• Excellent team-oriented, verbal, and written communication skills

Key Responsibilities:

• Verify insurance coverage, including primary and secondary payors
• Use UGS/DDE and EDS programs to verify Medicare/Medicaid eligibility
• Obtain visit authorization via payor by providing appropriate medical records
• Perform accurate data entry in patient records within HCHB
• Maintain payor files with up-to-date requirements to obtain/initiate appeals for denied authorizations
• Interface with contract, clinical, and office staff to foster collaboration and positive working relationships
• Prepare patient co-pay estimates and notify scheduling of authorized visits
• Provide excellent customer service to patients, referral sources, and community contacts with questions regarding payor prior authorizations and medical guidelines
• Enter, audit, and follow up on authorized and unauthorized visits within HCHB

Why Puget Sound Home Health & Hospice?

At Puget Sound Home Health & Hospice, we pride ourselves on our quality of care and ethical business practices, guided by our foundational Core Values of CAPLICO:

• Customer Second (Employee First!)
• Accountability
• Passion for Learning
• Love One Another
• Intelligent Risk Taking
• Celebration
• Ownership

www.pugetsoundhhh.com