Verification Authorization Coordinator

Verification Authorization CoordinatorExplore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.As the Verification Authorization Coordinator, you will be responsible for the verification of patient eligibility/benefits as well as obtaining authorizations, when required, for home care/hospice services from insurance payors.Primary Responsibilities:Review referral information for accuracy in applicable EMR system supplied by the Care CenterObtain authorizations where required while maintaining compliance to medical record confidentiality regulationsObtain authorization from private insurance and all other payor sources requiring authorization via telephone, facsimile, or online systems while maintaining compliance to medical record confidentiality regulationsObtain information from agencies, when necessary, to assist with receiving authorizations and reauthorizations from private insurance and all other payor sourcesAssist other departments and Care Centers in the efficient collection of client and payor information to ensure accuracyEnter all patient benefit and authorization information into applicable EMR systemRespond to calls, emails and other inquiries regarding the status of outstanding referrals and/or authorization informationProvide other administrative support to the department as neededComplete Payor Information Form (PIF) and Payor Change Request Forms (PCR) when needed for the purpose of meeting payor and client's needs to ensure accurate reimbursementUpdate Contracting Coordinator of payor information changesCommunicate efficiently, effectively, and timely to resolve issues pertaining to the verification and authorization processesAccess Medicare's Common Working File (CWF) to verify eligibility in the event a patient has termed coverage with private insurance carrier if applicableUpdate Admissions Operations Manager and/or Director of needed team efficiencies and any system problems as they occurComplies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance ProgramPerform other duties as assignedYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:High school diploma or equivalent2+ years of experience in medical office/home health benefit verification or billingDemonstrated knowledge of commercial insurance carriers' guidelines and criteria of verification, authorization, and reimbursementDemonstrated familiarity with insurance billing and terminologyPreferred Qualification:Post-Secondary Education or training in business or medical billing/collectionsPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $16.00 to $22.85 per hour based on full-time employment. We comply with all minimum wage laws as applicable.At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard, and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.