Specialist-Auth Post Acute Sol
Job Description
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities
Are you a healthcare professional with a knack for navigating complex insurance landscapes? Do you thrive in a fast-paced environment where your expertise directly impacts patient care and revenue outcomes? If so, we want you to join our dynamic team as a Post-Acute Solutions Authorization Specialist!
You’ll play a pivotal part in our pre-admission process, ensuring seamless patient transitions, supporting a positive patient experience, and maximizing reimbursement. Your role is critical in securing necessary authorizations, verifying insurance benefits, and acting as a subject matter expert for all referrals and admissions.
Position Highlights
*Manage all pre-admission patient authorizations, prioritizing workload to ensure timely and accurate approvals.
*Navigate complex insurance policies, communicate effectively with providers and insurance companies, and act as an escalation point for payor issues.
*Utilize your knowledge of medical terminology, diagnosis codes, and healthcare insurance policies to secure appropriate payor sources.
*Serve as a liaison between various teams, including Business Development, Nursing Centers, and Revenue Cycle Management, fostering a collaborative environment.
*Coach team members on authorization processes and assist in maximizing Managed Care census and revenue.
*Accurately document all pre-authorization activities and utilize PCC reports to ensure compliance.
Qualifications
*Bachelor’s degree in Healthcare Administration, Nursing, Business Administration Information Technology, or a related field preferred.
*Minimum of three (3) years of experience in a healthcare support role or related field.
*Strong knowledge of healthcare technology and systems.
*Excellent communication, interpersonal, problem-solving, and leadership skills.
*Ability to work collaboratively with cross-functional teams and stakeholders.
*Strong analytical skills, with the ability to interpret data, analyze trends, and develop actionable insights.
*Proficiency in Google Suite, Microsoft Office Suite and CRM software.
*Willingness to travel nationally as needed.
Benefits
*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range
USD $58,000.00 - USD $62,000.00 /Yr.
*Bachelor’s degree in Healthcare Administration, Nursing, Business Administration Information Technology, or a related field preferred.
*Minimum of three (3) years of experience in a healthcare support role or related field.
*Strong knowledge of healthcare technology and systems.
*Excellent communication, interpersonal, problem-solving, and leadership skills.
*Ability to work collaboratively with cross-functional teams and stakeholders.
*Strong analytical skills, with the ability to interpret data, analyze trends, and develop actionable insights.
*Proficiency in Google Suite, Microsoft Office Suite and CRM software.
*Willingness to travel nationally as needed.
Are you a healthcare professional with a knack for navigating complex insurance landscapes? Do you thrive in a fast-paced environment where your expertise directly impacts patient care and revenue outcomes? If so, we want you to join our dynamic team as a Post-Acute Solutions Authorization Specialist!
You’ll play a pivotal part in our pre-admission process, ensuring seamless patient transitions, supporting a positive patient experience, and maximizing reimbursement. Your role is critical in securing necessary authorizations, verifying insurance benefits, and acting as a subject matter expert for all referrals and admissions.
Position Highlights
*Manage all pre-admission patient authorizations, prioritizing workload to ensure timely and accurate approvals.
*Navigate complex insurance policies, communicate effectively with providers and insurance companies, and act as an escalation point for payor issues.
*Utilize your knowledge of medical terminology, diagnosis codes, and healthcare insurance policies to secure appropriate payor sources.
*Serve as a liaison between various teams, including Business Development, Nursing Centers, and Revenue Cycle Management, fostering a collaborative environment.
*Coach team members on authorization processes and assist in maximizing Managed Care census and revenue.
*Accurately document all pre-authorization activities and utilize PCC reports to ensure compliance.