Intake And Authorization Specialist

AccordCare and our family of brands is a premier in-home personal care company providing services to people of all ages and levels of need. A better quality of care comes from exceptional caregivers and AccordCare only hires the best! AccordCare is an employee-friendly company. We focus on our employees to ensure they have a healthy work and life balance. Our employees become our family, and through excellent training and support, they are ready to serve our clients with a fresh perspective on successful aging.

POSTION SUMMARY

This position is responsible for ensuring intake data in EMR is entered correctly for operational and billing purposes through intake and post admission reviews and ongoing authorization management. The Intake and Authorization Specialist ensures the accurate and timely input of all authorizations.

JOB RESPONSIBILITIES

• Conducts daily admission and post admission EMR data audits to ensure appropriate set up of all clients at the point of intake.

• Coordinates with operations and clinical teams to address data integrity issues.

• Verifies health insurance coverage and benefits for assigned payers such as; commercial, worker's compensation, and government/state insurance plans.

• Verifies initial and ongoing Medicaid Eligibility.

• Ensures all forms are accurate and uploaded to the applicable EMR.

• Accountable for the accuracy of authorizations and intake information.

• Follows up on pending and expired authorizations through appropriate payer portals. Enters all renewed/ revised authorizations and communicates to the appropriate teams for scheduling.

• Completes weekly reports on audit findings.

• Organizes/ Prioritizes workload to complete responsibilities in an appropriate and timely manner.

• Maintains a broad range of knowledge of insurance plans, medical terminology, and billing procedures. Builds knowledge of internal and vendor systems related to the role.

• Shares knowledge gained with other staff members and works as a team member.

• Interacts with others in a positive, respectful, and considerate manner.

• Performs other related duties as assigned.

REQUIRED EXPERIENCE, EDUCATION, SKILLS & ABILITIES

• High School Diploma is required; some college is preferred.

• Two years of revenue cycle/ billing experience is required.

• Experience with insurance verification is preferred.

• Ability to communicate effectively with coworkers.

• Ability to make decisions, solve problems, and work independently with little supervision.

• Demonstrate extreme attention to detail and accuracy.

• Ability to prioritize and meet deadlines.

• Experience and proficiency using multiple EMR systems and payer portals.

• Knowledge in the use of Microsoft Office application.