Authorization Coordinator-Home Care

Overview: Stella Maris is proud to provide central Maryland with compassionate, skilled home health care for adults.
We specialize in home health care services that enable the patient to adapt and manage his or her medical situation in the comfort of their home.
Stella Maris is looking for an Authorization Coordinator to join their growing Home Health team.
This is an exciting opportunity to work alongside dedicated clinicians to meet the needs of clients in the community we serve.
Authorization Coordinator Home Health Check out some of our benefits offered: • Paid time off (PTO) & company paid holidays • Tuition reimbursement • 403(B) retirement plan with generous company match and “Catch Up” provision • Competitive health, prescription, vision and dental benefits • Discounts on auto & home insurance and Verizon plans • Pet Wellness coverage, legal assistance and identity protection • Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program • Perks at Work - savings on favorite brands, travel, tickets, dining and more! Responsibilities: JOB SUMMARY: The Authorization Coordinator is a vital position to the overall function of the home health department.
They support the department with administrative support and knowledge of insurance authorizations.
ESSENTIAL FUNCTIONS: • Responsible for obtaining and tracking authorizations for home care and home hospice.
Includes pre-authorization, extension authorizations and authorization related appeals and denial management.
• Coordinates follow-up with third parties to ensure that authorizations are obtained and errors corrected.
• Completes monthly insurance eligibility and benefits checks.
Responsible for notifying patients and staff of changes in coverage and out of pocket expenses.
• Documents benefit, authorization and other relevant billing information in the electronic health record.
• Maintains knowledge of the payer’s authorization requirements and communicates with the authorization representatives in a professional manner with the documentation needed to obtain authorization.
• Obtain telephonic and on-line authorization of services daily.
Uploads information from the electronic health record into the insurance company portals to obtain authorization for the provision of care.
• Documents requests for and receipt of authorization with specific details related to the effective and end dates for each discipline in the electronic health record.
Follows-up with clinicians on authorizations as needed.
• Manages all aspect of the HBS Carefirst Process including, but not limited to the referral process, contacting patients, coordinating start of care with scheduler, and sending updates through the HBS portal.
• Promptly answers incoming calls and appropriately transfers callers.
• Accesses and utilizes information from multiple electronic health records and portals as needed.
• Follows all HIPAA, compliance, privacy, and confidentiality standards.
Qualifications: High school diploma or equivalent Prior experience in healthcare required Demonstrated ability to work well with staff, residents and family members.
Excellent written and verbal skills.
Basic computer skills required.