the verification of insurance benefits for patients•Notifies appropriate teams of deductibles, co-insurances, and out of pockets due •Initiate Prior Authorization requests to insurance carriers•Receive request for prior authorizations and ensure they are properly and closely monitored•Accurately enter required information into the EMR•Follow up on authorization requests in a timely manner•Regularly calls insurance companies to follow up on requests•Attach incoming insurance information into EMR and follow established procedures for distributing information for further review by intake team•Inform appropriate team(s) of approaching re-auth dates or expiring insurance policies•Escalates issues
to Supervisor•Establish effective rapport with other employees within the department as well as with the clinical intake team and staff•Recognize trends identifying issues with payer authorizations•Provides guidance related to questions about the eligibility and authorization•Additional duties as assigned by Supervisor QUALIFICATIONS•High School Education or GED•1+ years of insurance verification preferred•Medical Office Background preferred•Home Health or Hospice knowledge preferred•Experience with payer provider portals preferred•Computer proficiency – MS Office and web enabled applications strongly preferred•Excel knowledge•Customer Service experience preferred ADDITIONAL REQUIREMENTS: •Willingness
to learn•Self-motivation and the ability to work independently as well as in a team•Provide quality customer services to internal and external teams•Must be able to work productively in an environment with high levels of interruption; work efficiently and effectively meeting multiple deadlines and changing priorities with strong attention to detail•Exceptional organization skills•Maintain patient confidentiality as defined by state, federal, and company regulations•Ability to effectively communicate with all levels of management•Strong work ethic: results focus with a strong desire to achieve goals•Ability to use a computer keyboard and mouse 6-8 hours a day•Occasionally lift/carry items weighing up to 25 lbs.
•Ability to dial, answer and talk on a telephone for multiple hours a day•Ability to handle completing a task in high levels of interruption while paying close attention to detail•Ability to maintain confidentiality•Ability to effectively communicate with all levels of management•Team player
Maintain recruitment records and assist in the onboarding process for new hires/volunteers. Schedule screening and follow up with candidates. Process I9 section for Empower employees. Employee Records Management: Maintain and update employee records and HR databases.
Ensure the accuracy and completeness of personnel files and records. Compliance and Policies: Assist in ensuring compliance with HR policies, labor laws, and regulations. Participate in the development and communication of HR policies and procedures. Unemployment claims Training and Development: Coordinate training sessions, workshops, and development programs. Help track employee training progress and maintain related records.
Employee Relations: Assist with employee inquiries and concerns, providing basic information or directing them to appropriate resources. Contribute to the resolution of minor employee issues and conflicts.
Performance Management: Assist with performance appraisal processes and related documentation. Maintain performance evaluation records and provide support as needed. HR Reporting: Prepare and maintain HR-related reports and analytics to help inform decision-making. General Administrative Support : Handle general HR administrative tasks, including saving documents, correspondence, emails and answering phone calls. Support the HR team in various projects and initiatives. Assists with
processing job changes, pay changes, preparation of the performance review and terminations.
Qualifications: Bachelor’s degree in human resources, Business, or a related field (preferred). 1-3 years of experience in an HR or administrative role (experience may vary by organization). Knowledge of HR laws, regulations, and best practices. Proficiency in MS Office, HR software, and database management. Strong organizational and communication skills. Attention to detail and ability to maintain confidentiality. Full-time Benefits includes: Medical, Dental and Vision PTO Paid Holidays 401k LTD, STD, and EAP
