The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM.
Duties/Responsibilities:
Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required
At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs
Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents
Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care
Data entering all authorization information into the system
Verifying accuracy in payor setup in EMR for all active policies
Maintain electronic record of all authorizations
Run reports daily, weekly, and monthly for department
Communicate with both internal and external customers to ensure authorizations are utilized accurately
Performs other duties as assigned
Required Skills/Abilities/Knowledge:
Excellent verbal and written communication skills with ability to communicate across all levels of field-based leadership
Demonstrates high degree of organization and problem solving
Able to effectively deal with change
Able to complete projects and tasks within specific timetables
Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner
Requires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive information
Requires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situations
Requires the ability to interpret, adapt and react calmly under stressful conditions
Must be able to relate cooperatively and constructively with clients and co-workers
Education/Experience/Licenses/Certifications:
High School Diploma or Equivalent
Medical, Dental, and Vision Insurance
Paid Time Off and Paid Sick Time
401(k)
Referral Program
Pay Range: $18 - $21 / hour
Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.
Skills Required
- High School Diploma or Equivalent
- Experience using an EMR to enter and verify payer/authorization information
- Checking patient eligibility and benefits and obtaining authorizations
- Excellent verbal and written communication skills
- High degree of organization and problem-solving ability
- Ability to maintain confidentiality of sensitive information
- Ability to interact professionally face-to-face and by telephone
- Ability to run and interpret daily, weekly, and monthly departmental reports
- Ability to complete tasks within specific timetables and adapt to change
Team Select Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Team Select and has not been reviewed or approved by Team Select.
-
Inclusive Benefits Coverage — Full-time employees receive comprehensive packages (medical, dental, vision, 401(k), disability, life/AD&D, and EAP), while part-time/PRN staff can still access MEC medical, voluntary dental/vision, EAP, and 401(k). Feedback suggests this breadth, including options for PRN, is broader than many smaller home-care agencies.
-
Healthcare Strength — Multiple PPO medical options (PHCS or Cigna networks) with preventive care at 100%, plus HSA/FSA and value-based pricing for hospital/ER care, are emphasized for eligible staff. This indicates solid core health coverage for full-time employees.
-
Leave & Time Off Breadth — PTO, sick time, paid holidays, and bereavement are available for full-time employees. These leave elements round out the core benefits offering for those meeting eligibility thresholds.
Team Select Insights
What We Do
Compassionate long-term adult and pediatric private duty nursing, personal care services, and family caregiving programs from the comfort of home. We're driven by a heartfelt mission to provide personalized and professional home care services that enhance the quality of life for individuals and families.
