Authorization Coordinator

Job Description

REQUIREMENTS

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

RESPONSIBILITIES

• Obtains home health and hospice authorizations and retroactive authorizations as needed.
• Communicates with providers, clinical staff and caregivers to obtain information required for authorization approval.
• Verifies eligibility of members, determines benefit coverage and communicates deductible to patient.
• Gathers clinical documentation needed from case management and other team members to obtain continued authorization.
• Performs other job-related duties as assigned.

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