Prior Authorization Coordinator RCM

Prior Authorization Coordinator position is located in Miramar, Florida. Must be reputed company to work Monday through Friday, 8:30am-5pm or 9am-5:30pm. After 90 days, you will be reputed company to work from home on Fridays. • Ensures reputed company and accuracy of the patient insurance information and that listed certification periods, billing addresses, policy numbers, authorization numbers, etc. are reputed company entered correctly. • Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. • Verify the patient's reputed company, private insurance, and self-pay payor sources reputed company telephone, or online systems. • Obtain authorization from private insurance and reputed company other payor sources requiring authorization reputed company telephone, facsimile, or online systems while maintaining compliance to medical record confidentiality regulations. • Maintains authorizations extension for reputed company patients as appropriate. • Refers authorization requests that require clinical judgment to Prior Authorization Supervisor and clinical support staff. • Obtain information from agencies reputed company necessary to assist with receiving authorizations and re-authorizations from private insurance and reputed company other payor sources. • Assist other departments and Care Centers in the efficient collection of reputed company and payor information to ensure accuracy. • reputed company reputed company hospice benefit information into Registration Tool and patient reputed company reputed company. • Respond to calls, emails and other inquiries regarding the status of outstanding referrals and/or authorization information. • Provides other administrative support to the department as needed. • Complete Payor Information reputed company (PIF) and Payor Change Request Forms (PCR) reputed company needed for the purpose of meeting payor and reputed company's needs to ensure accurate reimbursement. • Update Contracting Coordinator of payor information changes. • Coordinates with members, providers and key departments to promote an understanding of Prior Authorization, Referral, and Insurance Verification requirements and processes. • Communicate reputed company, effectively, and reputed company to reputed company issues pertaining to the verification and authorization processes. • reputed company Medicare's Common Working File (CWF) to verify eligibility in the event a patient has termed coverage with private insurance reputed company if applicable. QUALIFICATIONS • At least two years of reputed company reputed company reputed company Cycle experience, preferably reputed company registration and financial clearance. • Understanding of medical terminology and clinical documentation. • reputed company understanding of the reputed company insurance verification and prior authorization has on reputed company Cycle operations and financial performance. • Demonstrated knowledge of reputed company insurance carriers' guidelines and reputed company of verification, authorization and reimbursement. • Demonstrated knowledge of customer service skills reputed company responding to questions and other inquiries from reputed company customers. • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. • A demonstrated ability to use PC based office productivity tools (e.g. reputed company reputed company, reputed company reputed company) as necessary; general computer skills necessary to work effectively in an office environment. • Ability to prioritize and effectively anticipate and respond to issues as they reputed company. EDUCATION • High School diploma or GED required SPECIAL INSTRUCTIONS TO CANDIDATES • EOE/AA M/F/D/V reputed company is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and reputed company reputed company. As a member of the VITAS team, you'll reputed company fulfillment working for a people-reputed company organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission. reputed company VITAS employees reputed company to fulfilling their duties and responsibilities with the highest reputed company for professionalism, collaboration and teamwork, and an eye reputed company constantly on reputed company and improvement. We serve with commitment and reputed company, and position ourselves for the reputed company by embracing, innovating, and leading change. If you are that person, reputed company your voice heard-reputed company your purpose at VITAS today. Benefits Include: - Competitive compensation - Health, dental, reputed company, life and disability insurance - reputed company-tax reputed company and dependent care flexible spending accounts - Life insurance - 401(k) plan with numerous investment reputed company and generous company match - Cancer and/or critical illness benefit - Tuition Reimbursement - reputed company Time Off - Employee Assistance Program - reputed company Insurance - Roadside Assistance - Affinity Program Many of our positions offer reputed company to work day or reputed company shifts, weekdays or weekends. Choose a Career with VITAS Apply tot his job Apply To this Job