Insurance Authorization Specialist

KidsCare Home Health
Dallas, TX
Category Human Resources
Job Description
KidsCare Home Health is a multi-award-winning organization seeking dedicated professionals to join their team. This Insurance Authorization Specialist will work with multiple payer sources, obtain insurance authorization, monitor authorizations, and ensure timely processing of services. The role involves managing documentation, scheduling, and communicating with physicians and payers.

Requirements

  • Maintain authorization workflows and the authorization roster.
  • Contact payer source for outstanding authorizations.
  • Process original authorization as well as ensure timely review and updating for reauthorization.
  • Complete scan and send TP2 forms and all other reauthorization documentation to the ordering physician and payer source.
  • Schedule TRC evaluations with patient families and Clinical Manager.
  • Process payer changes timely.
  • Ensure timely processing of discharges in the organization’s healthcare software system.
  • Assist with the processing of incoming referrals as needed.
  • Comply with all company policies, practices, and procedures.

Benefits

  • health
  • dental
  • vision insurance
  • paid time off
  • 401K
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