Authorization Coordinator (Remote)
About Us
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!
Description:
The Authorization Specialist is responsible for the timely submission of the authorizations for physician services. Serving as a subject matter expert of authorizations, including but not limited to, submission of physician-based authorizations, resolving authorization related claims denials, and reporting.
Responsibilities:
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- Submit physician-based authorizations to payors across multiple states via portal, fax, phone, or any other method as needed
- Resolve authorizations denials in work queue as needed
- Identify areas of opportunities to improve the authorization process and ultimately clean claim payments
- Identify and communicate any potential claims issues that could result in loss of revenue
- Communicate with providers and other team members to resolve any authorization issues
- Participate in team meetings and communications
- Perform assigned duties in a compassionate manner in accordance with the mission/values of Ennoble Care
- Perform specific assignments as directed by the Revenue Cycle Director
Qualifications:
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- Minimum 3 years’ experience in authorizations for physician services
- Preferred experience with Waystar
- Detail oriented, organized and able to multitask
- Represents the organization in a positive and professional manner
- Comply with all organizational policies regarding ethical business practices
- Maintain regulatory requirements, including all federal, state, local regulations and accrediting organization standards
- Understand Medicare, Medicaid and Third-party rules, regulations and billing codes
- Proficient in all Microsoft Office applications as well as medical office software
- Strong interpersonal and organizational skills
- Able to work in a fast-paced environment
Full-time employees qualify for the following benefits:
- Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
- Paid Time Off
- Paid Office Holidays
All employees qualify for these benefits:
- Paid Sick Time
- 401(k) with up to 3% company match
- Referral Program
- Payactiv: pay-on-demand. Cash out earned money when and where you need it!
Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.
Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.
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