Insurance and Authorization Specialist

Phoenix Home Care & Hospice is adding an Insurance and Authorization specialist to our Springfield, Mo team!We're looking for a hard working, dynamic and fun individual to join our team. If you have an eye for detail, strong work ethic and are looking for an amazing office culture then Phoenix would love for you to interview us and see if we are a good fit for your career home!We believe in you & want to help you succeed!At Phoenix Home Care & Hospice, we care for people of all ages, diagnoses, & levels of care and every position in this company plays an important role in that process. We love to watch you grow personally and professionally!The specialist will work closely with the Healthcare Billing and Operation Teams to ensure patient profile, demographics and authorizations are obtained, maintained, and entered in our system with the highest quality in a timely manner.Benefits:Health Benefits: Multiple Major Medical Options, Dental, Vision, etc.Spousal InsurancePTO401k with matchingContinuing education opportunitiesEmployment recognition programsGreat culture!Onsite fitness centerPosition Responsibilities:Verify benefits and coverage for all new referrals with private insurance that is sent to HCP of Texas.Obtain initial authorization for all private insurance patients for Starts of Care.Manage the number of visits authorized and maintain additional authorizations for all patients as clinicians communicate a continued need for service.Correspond with both the therapy contract companies and HCP clinicians regarding insuranceSend clinical requests to Med Records for immediate completionCommunicate with Intake/scheduling when an SOC or ROC can be scheduled with a clinician.Send needed clinical documentation to insurance companiesCoordinate with DON on discharges necessary due to patient running out of insurance benefits.Maintain Email Accounts Assist billing with claim issues on any discrepancies.Coordinate with coding department for required documentation Document all communication in HCNet.Other duties as assigned.RequirementsStrong computer profieciencyKnowledge of Medical TerminologyExperience with Submitting Insurance Authorizations strongly preferredData Entry ExperienceMust be self-motivatedMust have past customer service experiencePrevious experience working in an office/professional setting.Ability to work independently as well as in a teamAbility to multitask and stay organizedBe able to communicate effectively and professionally with internal and external customersPrevious experience working with Home Health authorization or billing is preferred but not requiredWe will train the right candidate!We’re taking the journey with you, creating a New Beginning!

Choose Phoenix, Apply today!Our mission is to offer New Beginnings and meaningful opportunities to our caregivers and clinicians while providing home care services to our clients built on innovation, skill, and Christ-like values of compassion, honesty, and patience.