Graham Healthcare Group is seeking an Insurance Verification & Authorization Coordinator I to support the organization by ensuring that benefit information, authorization, and patient liability are obtained prior to the clinical staff starting care for any Graham Healthcare Group Service Lines and branches. This position works closely with several departments to ensure correct funding source information is updated in a timely fashion. Daily tasks will be driven by assigned workflow in the EMR (Homecare Homebase).

Insurance Verification & Authorization Coordinator I Responsibilities:

• Obtain and document detailed, accurate benefit and authorization information through payer portals, phone, or fax.
  
• Validate patient information and input into EMR to reduce write-offs and ensure accurate record-keeping.
  
• Conduct daily monitoring and updates related to insurance verification, Medicare eligibility, and reauthorization needs.
  
• Perform monthly reverification for Medicaid and other insurances to check for payer or HMO status changes.
  
• Coordinate with clinical staff and scheduling on authorization, insurance discrepancies, and funding issues.
  
• Maintain knowledge of payer portals and handle patient or provider inquiries related to benefits and authorizations.
  
• Support billing by resolving insurance and authorization discrepancies that affect claims.
  
• Additional responsibilities as directed by supervisor, including holiday and after-hours work as needed.
  

Insurance Verification & Authorization Coordinator I Requirements:

• Proficient in Microsoft Office Suite
  
• Knowledge of Medicare, Medicaid, and Third Party Insurance and Authorization Requirements
  
• Knowledge of insurance websites
  
• Knowledge of Home Care Home Base is preferred
  
• Conscientious with attention to detail
  
• Demonstrates patience, flexibility and cooperative attitude
  
• Effective verbal and written communication skills with others both internally and externally
  
• Ability to work independently and within a multidisciplinary team
  

Insurance Verification & Authorization Coordinator I Experience:

• Associates Degree or combination of experience and business courses is preferred.
  
• Minimum of one (1) year of previous experience in insurance verification, authorization or medical billing.
  

About Graham Healthcare Group:
As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.
Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay: With opportunity for advancement
  
• Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
  
• Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
  
• Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day.
  
• Retirement: Save for your future with our company offered 401k plan and pension.
  
• Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.
  
• Robust Training Program: We support your onboarding with a comprehensive training program.
  

Benefits may vary based on your employment status.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
By submitting your application, you are confirming that you are legally authorized to work in the United States.
JR# JR243418