Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner
Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated
software application via patient notes, authorizations, tasks, w orkflow , phone calls and/or email.
Obtains additional pre-certification as needed. Consults w ith the agency as needed for all private insurance referrals and
documents/communicates via the softw are application in a timely manner.
Serves as a liaison betw een the branch location and the payer on a regular basis.
Coordinates and communicates w ith the branch location regarding any changes or updates from the payer in a timely manner.
Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner.
Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
Problem solves independently before referring issues to the Supervisor/Manager for resolution.
Performs eligibility and or similar, comparable, or related duties as may be required or assigned.
Our company, a part of LHC Group, is currently seeking clinicians/professionals that want to join our team to help improve the well being of our patients and their families.
89% of our 380 locations have a 4.5 star rating or greater, and we are helping drive better outcomes for our patients nationwide.
If you're seeking a unique opportunity to take your career to the next level, it just arrived!
LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home.
Formal Education: High School Diploma or equivalent