Prior Authorizations Specialist

Join Our Team as an Insurance Prior Authorization Specialist at Puget Sound Home Health & Hospice.

Benefits:

• $23-28 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?

• Must have at least 1 year of insurance authorization/billing experience in a medical office, preferably home health/hospice.

• 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