Authorization Specialist

Pediatric Home Service is a friendly and professional leader in home health care with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work. Position: Authorization Specialist Hours: Full Time Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site during training) THE POSITION: Our Wichita, KS branch is looking for a self-motivated and organized Authorization Specialist to coordinate the authorization process for services performed by assigned branches. Submits and follows up on all authorizations for the assigned branches; Duties include but are not limited to: Communicates with the branch staff to determine the number of hours to request Collects and submits required documentation for authorizations Frequently communicates with payer contacts and billing department to ensure authorizations are accurate Corrects any claims issues due to authorizations Facilitates problem-solving through a collaborative approach Monitors and ensures that staff, clients, and families have resources for effective and efficient services Practices and promotes patient/family advocacy and facilitates the maintenance of ethical practice Completes and maintains documentation, files, and records as required Practices and promotes positive relationships and communication with all co-workers, the branch and corporate offices Reports and responds to complaints and incidents appropriately and per policy Understands, acknowledges, and follows all Policies and Procedures relevant to position and scope of work Maintains regular and predictable attendance Other duties as assigned THE QUALIFICATIONS: High School Diploma or Equivalent Two (2) years of experience in medical or related field preferred E xperience with provider portals (e.g., Commercial providers, Medicaid, etc), healthcare billing, and verifying eligibility requirements preferred Proficient with Microsoft Word, Excel, and Outlook THE COMPANY: Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are ages birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube. BENEFITS: Generous Paid Time Off (PTO) for full-time employees to ensure a healthy work-life balance 401(k) Matching to help secure your future Tuition Reimbursement to support your educational and professional growth Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care A supportive and fulfilling work environment where your contributions directly impact children’s health and well-being We look forward to learning more about you and the skills you can bring to Pediatric Home Service! Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance. #J-18808-Ljbffr