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Home Health Insurance Authorization Specialist
Location
California + 3 moreAll locations: California | Illinois | Montana | South Dakota
Posted
74 days ago
Salary
$43K - $56.2K / year
Seniority
Junior
Job Description
Home Health Insurance Authorization Specialist
CenterWell Senior Primary Care
• Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. • Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition. • Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate. • Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. • Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners. • Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. • Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing. • Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements. • Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents. • Alerts appropriate team members at the Site regarding late or missing documents required for billing. • Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams. • Maintain the confidentiality of patient/client and agency information. • Maintain accurate and up to date information for all vendor and nursing facility contracts. • Keep information in an orderly manner readily accessible for review. • Presents status as requested. • Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures. • Participate in special projects and performs other duties as assigned. • Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary. • Act as an information resource for any hard revenue generation issues or system issues. Basically the subject matter expert.
Job Requirements
- One or more years of related experience and/or training preferred.
- Two or more years of Home Healthcare or Medical Office experience preferred.
- Knowledge of insurance reimbursement and authorization process preferred.
- Proficient in using computers and Microsoft Office applications, including Word, Excel, and Outlook.
- Two years college preferred.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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Are you a licensed health and life insurance professional ready to take your career to the next level? Join BiG Agency, a fast-growing, nationwide organization that’s redefining success in the insurance industry. At BiG Agency, we don’t just offer a job—we offer a powerful platform for growth, income potential, and long-term success. Why BiG Agency? - Nationwide Presence – Be part of a company with locations across the country and expanding rapidly - Top-Tier Contracts – Gain access to highly competitive contracts with some of the leading carriers and agencies in the industry - High-Quality Leads – Focus on closing deals, not chasing prospects, with our strong and consistent lead sources - Lucrative Bonuses – Be rewarded for your performance with generous bonus structures - Incentives & Perks – Enjoy company-paid events, exclusive trips, and a culture that celebrates success What You’ll Do: - Assist clients in selecting the best health and life insurance solutions for their needs - Build and maintain strong client relationships - Stay up to date with industry trends and product offerings - Achieve and exceed sales targets What We’re Looking For: - Strong communication and interpersonal skills - Self-motivated, goal-oriented mindset - Passion for helping clients and growing professionally Ready to grow with a company that invests in YOU? Join BiG Agency and be part of a team where your success is the priority.
Licensed Health & Life Insurance Broker
Big Agency LLCThis role is best suited for individuals who are comfortable in a performance-based environment and are motivated by growth and long-term income potential.
Are you a licensed health and life insurance professional ready to take your career to the next level? Join BiG Agency, a fast-growing, nationwide organization that’s redefining success in the insurance industry. At BiG Agency, we don’t just offer a job—we offer a powerful platform for growth, income potential, and long-term success. Why BiG Agency? - Nationwide Presence – Be part of a company with locations across the country and expanding rapidly - Top-Tier Contracts – Gain access to highly competitive contracts with some of the leading carriers and agencies in the industry - High-Quality Leads – Focus on closing deals, not chasing prospects, with our strong and consistent lead sources - Lucrative Bonuses – Be rewarded for your performance with generous bonus structures - Incentives & Perks – Enjoy company-paid events, exclusive trips, and a culture that celebrates success What You’ll Do: - Assist clients in selecting the best health and life insurance solutions for their needs - Build and maintain strong client relationships - Stay up to date with industry trends and product offerings - Achieve and exceed sales targets What We’re Looking For: - Strong communication and interpersonal skills - Self-motivated, goal-oriented mindset - Passion for helping clients and growing professionally Ready to grow with a company that invests in YOU? Join BiG Agency and be part of a team where your success is the priority.
