Job description
Eden Health is hiring
Healthcare Heroes!
Eden Health is
100% employee owned company providing services for our community helping them stay safe and healthy in the comfort of their homes. We are
currently in 8 states (WA, OR, ID, MT, WY, CA, NV & AZ) which
54% of that growth happened in 2020 and we’re not stopping. What that means for you is there is
room to grow and advance your career as far as you’d like just like our Executive Leadership team!
We're hiring an Authorization Specialist to join our team in Vancouver, WA.
JOB SUMMARY:
The Authorization Specialist (AS) is responsible for obtaining authorization and re-authorizations from insurers, completing verification of patient insurance benefits and entering the authorization and payer information into the Electronic Health Record (EHR) for assigned Eden Health business lines/payers. The AS works closely with agency staff obtaining referral information as well as clinical staff and managers for re-authorizations and payer changes. The AS is responsible for closely communicating/coordinating with the Centralized Billing staff on issues related to payer changes and denials for authorizations and/or questions related to auth.
WHAT IS IN IT FOR YOU!
Vacation Perks
- LIFE / WORK BALANCE! Eligible employees start accruing paid vacation time on their first day of employment with Eden Health. You also receive a free-floating holiday!
More Than A Clinical Job
- We’re growing, so you can find career opportunities that match your goals and fuel your passion and we promote from within every chance we get!
Employee Owned
- Eden Health is 100% Employee Owned, few Healthcare providers can say that! We take pride in what we do, and we believe our employees should share the success of our company in a tangible way. Ask us what this means for our employees!
Health Benefits
- Comprehensive Medical Plan
- Dental Plan
- Vision Plan
- Wellness Program
Career Benefits
- Tuition Reimbursement Program
- Long-Term Service Recognition
- Team Member Referral Program
- Training & Educational Assistance
Financial Benefits
- 401(k) Retirement Savings Plan
- Employee Stock Ownership Plan
- Flexible Spending Accounts
- Life, Accident, & Disability Insurance
Personal Benefits
- Paid Sick Leave
- Paid Holidays
- Identity Theft Protection
- Employee Assistance Program
- Employee Hardship Fund
- Flexible Schedule to Fit Your Needs
- Floating Holiday
QUALIFICATIONS:
- High school diploma or equivalent.
- Three (3+) years conducting Insurance calls for EOB’s and Authorizations experience preferred.
- Health care experience preferred. Medical Terminology desired.
- Electronic Health Record (EHR) documentation experience preferred.
- General clerical, data entry, and excellent organization skills.
Responsibilities and Duties:
- Obtains initial and subsequent authorization as needed for assigned location(s)/payer(s).
- Performs insurance verification and submits/tracks single case agreements as necessary.
- Maintains a working knowledge of reimbursement principles and rates.
- Provides and documents ongoing communication with payer case managers for updates/changes/authorizations.
- Escalates/Notifies Supervisor of potential problem referrals.
- Available for on-call responsibilities as assigned.
- Handles patient complaints in a fair and empathetic manner.
- Maintains confidentiality of patient information.
- Maintains courteous demeanor at all times.
- Demonstrates ability to work effectively and maintains expected productivity.
- Trains new hires and performs remedial training with current staff.
Eden Health is an equal opportunity employer.
(Job ID#3043)
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