Job Description
Job Title: Authorization CoordinatorJob ID: 715546
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Home Nursing Agency
Department: Billing - Reimbursement
Location: 201 Chestnut Avenue, Altoona PA 16603
Description
Purpose:The mission of Home Nursing Agency is dedication to the highest quality of customer service delivered with a sense of warmth, kindness and individual pride.
Responsibilities:
- Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
- Educate and require adherence to performance improvement processes and initiatives
- Expand knowledge and expertise through educational resources and literature review
- Investigate and resolve individual customer accounts: Generate, research, respond to, distribute, and track Billing Communication forms Assist in the process to generate, submit, and manage administrative appeals in accordance with each payer's guidelines
- Maintain and protect customer and Agency confidentiality
- Maintain personal productivity by demonstrating satisfactory attendance and punctuality
- Obtain and maintain current knowledge of The requirements, standards, practices, and preferences of the Agency services The requirements, standards, practices, and preferences of the payers of those services The computer systems used to manage reimbursement and customer records
- Promote personal and co-worker safety during work duties
- Provide insurance verification consultation and assistance, as needed or requested, to: Verify and document customer's insurance coverage(s), with relevant payers Communicate insurance information to Agency staff regarding benefit coverage, deductions, co-pays, and special instructions Maintain current database of all Agency insurance payers, with specifics about the insurance provider
- Represent and participate in Agency professional and community activities as requested
- Serve as the principle Agency contact for selected payers to: Negotiate with payers to secure reimbursement rates, initial and ongoing authorizations for services Communicate authorization information and payer expectations and/or instructions to appropriate Agency staff Provide the payers with clinical progress reports regarding the customer's care, treatment, and progress toward goals/outcomes Implement monitoring and tracking mechanisms to compare authorizations with services provided
Qualifications
Education: Graduate of an accredited Medical Secretarial SchoolLicensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities
Union Position: No
Apply Current Employee?
UPMC VALUES
At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!
QUALITY & SAFETYDIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION
UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.
WORKING HERE
Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.
Learn more about working here and check out our policies and recent updates.
UPMC Ranked #17 Best Places for Women & Diverse Managers in 2018
