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Rehab at Home Healthcare Services

Home Health Authorization Specialist

Rehab at Home Healthcare Services, Arlington, Texas, United States, 76000

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Rehab at Home is Hiring!

Home Health Authorization Specialist

Job Description:

An Authorization Assistant in the context of home health plays a vital role in ensuring that patients receive the necessary authorizations for their care, while also navigating the complex landscape of insurance requirements and regulatory compliance. The position requires a combination of administrative, communication, and healthcare-specific knowledge to facilitate the smooth authorization of home health services.

Responsibilities: Process and manage authorization requests for home health services, ensuring compliance with regulatory requirements and insurance policies. Collaborate with healthcare providers, insurance companies, and relevant stakeholders to obtain necessary authorizations for patient care. Maintain accurate and up-to-date records of authorization requests, approvals, and denials. Ensure that all documentation complies with privacy and confidentiality standards, such as the Health Insurance Portability and Accountability Act (HIPAA). Verify patients' insurance coverage and communicate with insurance providers to determine authorization requirements. Assist patients in understanding their insurance benefits and coverage related to home health services. Communicate with healthcare professionals, patients, and their families to gather required information for authorization submissions. Provide updates on authorization status to relevant stakeholders and address any inquiries related to the authorization process. Collaborate with the clinical team to ensure that the necessary documentation and information are provided for authorization purposes. Stay informed about changes in healthcare regulations and insurance policies affecting authorization procedures. Implement and monitor compliance with authorization-related policies and procedures. Qualifications:

High school diploma or equivalent; additional education or certification in healthcare administration or a related field is a plus. Strong organizational and communication skills. Attention to detail and ability to maintain confidentiality. Bilingual preferred, not required.

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We look forward to reviewing your application!