Prior Authorization Specialist Job at Caring Hearts Homecare, Wilmington, MA

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  • Caring Hearts Homecare
  • Wilmington, MA

Job Description

About the Job:
Caring Hearts Homecare is looking to hire a part-time Prior Authorization Specialist, someone who is self-driven, responsible, organized, and pays attention to details.

 

Qualifications:

  • Must have experience in Home Care Prior Authorization submission processes in Massachusetts.
  • Ability to work independently and manage time effectively.
  • (LPN/RN) Nurse preferred
  • Good computer skills.


Responsibilities include:

  • Assist in the completion of Prior Authorization document requests.
  • Review Prior Authorization documents for completion and accuracy.
  • Submit Prior Authorization requests to appropriate insurance companies for approval.
  • Track submitted PA requests.
  • Audit to ensure PAs are in place for all patients.
  • In charge of PA appeals and follow-up on any additional requests for documents needed for PA approval.
  • Manage and maintain tracking PA tool.
  • Performs other duties as assigned.

Benefits:

  • Competitive Pay Hour! (Pay may range between $28 to $30 per hour)
  • Paid Holidays.
  • Paid Sick days.

About Caring Hearts Homecare:

Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. At Caring Hearts Homecare, we take a team approach in caring for our clients. By working with clients, families and physicians, our experienced and well trained team of clinicians are able to provide customized and individualized high quality care that meet specific needs of each of our clients.

Job Tags

Hourly pay, Part time

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