Help at Home is the nation's leading provider of high quality care and support solutions. Our goal is to enable the highest level of personal independence and meaningful lives for our clients. Help at Home is committed to delivering a gold standard in care through our attentive and well-trained staff who support our clients comfortably and safely within their homes and communities.

Job Summary:

The RCM Specialist (Authorization & Eligibility) reports to the RCM Client Access Supervisor. This position performs general data entry & keying tasks for the Revenue Cycle Management Department's authorization management functions that require a high degree of attention to detail, and the ability to analyze and resolve routine problems

As a key member of the team:

• You are flexible and can embrace change
• You value progress over perfection
• You care about your work, the team you're on, and the people we are helping
• You make it a priority to get to know the people around you - build relationships with your colleagues and business partners
• You say what needs to be said, while considering how it'll affect culture and output
• Hold others to a high standard

D uties/Responsibilities:

• Obtain authorizations from payers and upload to the applicable document repository
• Identify authorization issues and contact payer representatives to correct as needed.
• Utilize payor portals, MCO provider phone lines and email to communicate and resolve authorization issues.
• Work with Operations team to ensure schedule properly aligns with authorization units.
• Identify authorization changes as they are occurring, correct and modify master profiles as necessary.
• Keep track of all authorizations and expiration dates of the authorizations. Obtain new authorizations before expiration dates
• Alerts the RCM Supervisor or RCM Manager regarding late or missing documents required for billing.
• Produces reports as needed
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Performs other related duties as assigned.

Required Skills and Abilities:

• Self-motivated; reliable; strong attention to details
• Strong communication skills, oral and written.
• Excellent interpersonal skills; Demonstrates excellent communication and customer service skills under duress and in a fast pace; ability to function as a positive team member.
• Intermediate to advanced skills with Microsoft Office Suite, especially Excel.

Education and Experience:

• High School diploma or GED required.
• One (1) to two (2) years' experience of revenue cycle management or billing experience in the healthcare field
  

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.