Res-Care, Inc. Fairfield , NJ 07004
Posted 2 weeks ago
Our Company
Amerita
Overview
The Patient Authorization Coordinator - Lead has primary responsibility for the timely clearance of new referrals. In addition, this position provides support and training for Patient Authorization Coordinator team members as well as other specialty intake staff as necessary.
Responsibilities
Obtains core initial authorizations and re-authorizations as required for branch
Enters patient authorization information into the computer
Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient's therapy
Communicates with other departments regarding the status of authorizations
Understands which insurance providers have active contracts with Amerita
Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill
Leads Patient Authorization Coordinator team in support of RCM to ensure billing and collections issues are researched and when possible, resolved
Maintains confidentiality of patient and proprietary information
Supports other branches as needed
Qualifications
High School Diploma/GED or equivalent required; Associate's Degree or some college preferred
Minimum two (2) years of experience collecting referral information in the healthcare market
Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
Knowledge of insurance verification and pre-certification procedures
Understands the scope of services that Amerita can provide
Strong verbal and written communication skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn.
Salary Range
USD $28.00 / Hour
Res-Care, Inc.