Full employer posting
Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider. The Prior Authorization Assistant will verify insurance on all patients that are referred to home health and hospice services.
They are responsible to verify the insurance benefits either on the phone or online portal clearly document this benefit information on the patient’s medical record. Must obtain detailed insurance information for our reimbursement including eligibility, deductibles, and co-pays and out of pocket costs. Must document this information in the EMR system accurately and timely.
Responsible for obtaining authorizations for each service and discipline ordered, as required by insurance companies dependent upon plan coverage for all patients. Authorizations must be documented accurately in the patient’s medical record and tracked and monitored for timely reauthorization of services. Completes and Documents reauthorizations as requested.
Gathers all required clinical documentation from staff and patient record to obtain timely authorization of visits. Communicates and coordinates all benefit and authorization requests and denials to appropriate clinical and supervisory staff
High School Diploma or GED
One to two years’ experience in billing, authorization department of home health setting. Must have knowledge and experience with all types of insurances.
Ability to communicate and problem solve issues professionally and effectively with individuals at all levels of the organization. Strong computer skills required. Preferred
Clinical background/knowledge. WHAT WE OFFER: Competitive Compensation Shift Differential Professional Development Supportive and Experienced Peers
Medical, Dental, and Vision offered after completion of introductory period Paid Time Off 403(b) retirement plan with company match Company Paid Short & Long Term disability coverage Company Paid and Voluntary Life Insurance Flex Spending Account Employee Assistance Program (EAP) Health & Wellness Programs
About the role
The Prior Authorization Assistant will verify insurance on all patients that are referred to home health and hospice services. They are responsible to verify the insurance benefits either on the phone or online portal clearly document this benefit information on the patient’s medical record.