Reauthorization Specialist

Position Summary: The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods.Schedule: Remote Mon-Fri 40 hours per week.>> We offer our team the best Medical, Dental and Vision BenefitsContinued EducationPTO PlanRetirement PlanningLife InsuranceEmployee discountsProcess Intake, Reauthorization and Payer Transfers.Process new intakes and reauthorization by reviewing referrals.Ensure all services are authorized within required time frame to prevent laps in care.Monitor authorization start and end date to proactively manage renewals and prevent expirations.Follow up on pending authorization and communicate updates to the branch.Documentation and Data EntryAccurately enter and update authorization detail in the system, ensuring all information align with payer approvals.Maintain complete, compliant, and well-organized patient records.Review documentation for accuracy and consistency prior to submission or scanning.Scan, upload and index authorization documents into the appropriate system and a timely manner.Payor Transfer and CoordinationHandle payer transfers, ensuring authorization are updated and aligned with the new payer requirements.Verify coverage details and authorization rules during payer change to maintain uninterrupted services.Expired Reports and Requesting AuthorizationManage expired authorization report, identify discrepancies and take corrective action.Track and resolve authorization issues that may effect billing, scheduling , or services.Communicate with branches regarding or pending authoriztion and require next step.Branch Support and CommunicationsProviding guidance and support related to authorization, documents and intake process.Respond to branch inquiries promptly and collaborate to resolve authorization or documents issues.Communication clearly and professionally via email and internal systems keep all parties informed.Quality Assurance and ComplianceEnsure all process comply with payor guidelines, company policies and regulatory standards.Identify errors or discrepancies and take corrective action to maintain data integrity.Support workflow efficiency by proactively addressing issues before they impact patient care or operations.Key Strengths/Requirements In The RoleStrong attention to detail accuracy in documents and data entry.Effective communication and collaborations with branch teams.Ability to manage high volume of authorization and deadlines.Proactive problems-solving to prevent service disruptionsHigh school diploma or GED equivalent, some college preferred1-2 years of recent experience working in a health care setting and insurance authorizationsExcellent written and oral communication skillsExcellent customer service skillsMust be computer literate and possesses knowledge of computer software, Microsoft Excel (advance skills preferred), internet, Word and OutlookDependable, conscientious and reliableAbility to analyze and interpret situations to complete tasks or duties assignedTo apply via text, text 10347 to 334-518-4376#IndeedADCOR #ACADCOR #CBACADCOR #DJADCOREmployee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: https://www.indeed.com/employers/work-wellbeing/work-wellbeing-100-ranking.