Start here at Hartford HealthCare and work where every moment mattersHartford HealthCare at Home doesnrsquot just take great care of our patients we take great care of our Registered Nurses too Our benefit options at Hartford HealthCare at Home are designed so you can care for yourself and your family just as you care for others when you are here Possibility of a signon bonus based on eligibilityJob Summary Under the direction of the Prebilling and Authorization Manager the Authorization Specialist performs all duties related to insurance verifications and prior authorizations for Home Health and Hospice services in a timely manner Maintains documentation and insurance portal access and ensures accurate records in the Electronic Medical Record EMR Home Care Home Base HCHB Communicate updates in insurance or regulatory guidelines to the manager and relevant departmentsKey areas of responsibilityVerifies insurance eligibility and prior authorizations accurately and timely for HomeHealth and Hospice clients Reviews daily workf lows communicates updates toleadership ensures authorization details are entered for timely billing and reportscoverage issues as neededObtains prior authorizations f rom insurance companies by phone fax or portalssubmits required clinical documentation accurately records authorization details inHCHB and communicates any changes in authorization or eligibility to regionalleadershipIndependently prioritizes work keeps skills and knowledge current to serve as aninsurance resource protects confidentiality and communicates professionally withpayors clients and colleaguesEnsures accurate account management and timely authorization requests per payorguidelines reports delays to the Manager supports denial audits and collaborateswith hospital departments on billing and authorization processesAssists with training of new prior authorization staff and other duties as assignedAt Hartford HealthCare we are focused on supporting our colleagues Our Registered Nurses have the opportunity to practice at the top of their license using research innovation and evidence based practices We offer our Graduate Registered Nurses clinical instruction and additional learning opportunities as they complete the Nurse Residency programStart here at Hartford HealthCare and work where every moment mattersHartford HealthCare at Home doesnrsquot just take great care of our patients we take great care of our Registered Nurses too Our benefit options at Hartford HealthCare at Home are designed so you can care for yourself and your family just as you care for others when you are here Possibility of a signon bonus based on eligibilityJob Summary Under the direction of the Prebilling and Authorization Manager the Authorization Specialist performs all duties related to insurance verifications and prior authorizations for Home Health and Hospice services in a timely manner Maintains documentation and insurance portal access and ensures accurate records in the Electronic Medical Record EMR Home Care Home Base HCHB Communicate updates in insurance or regulatory guidelines to the manager and relevant departmentsKey areas of responsibilityVerifies insurance eligibility and prior authorizations accurately and timely for HomeHealth and Hospice clients Reviews daily workf lows communicates updates toleadership ensures authorization details are entered for timely billing and reportscoverage issues as neededObtains prior authorizations f rom insurance companies by phone fax or portalssubmits required clinical documentation accurately records authorization details inHCHB and communicates any changes in authorization or eligibility to regionalleadershipIndependently prioritizes work keeps skills and knowledge current to serve as aninsurance resource protects confidentiality and communicates professionally withpayors clients and colleaguesEnsures accurate account management and timely authorization requests per payorguidelines reports delays to the Manager supports denial audits and collaborateswith hospital departments on billing and authorization processesAssists with training of new prior authorization staff and other duties as assignedAt Hartford HealthCare we are focused on supporting our colleagues Our Registered Nurses have the opportunity to practice at the top of their license using research innovation and evidence based practices We offer our Graduate Registered Nurses clinical instruction and additional learning opportunities as they complete the Nurse Residency programMinimum RequirementsPreferred RequirementsEducationHigh School GraduateDiplomaEducationHigh School GraduateDiplomaExperienceMinimum one year experience working with insurances and prior authorizations preferredExperienceTwo ndash four years experience within a healthcare setting and familiarity with payor sources processes and guidelinesLicensure Certification RegistrationLicensure Certification RegistrationLanguage SkillsStrong written and verbal English communication skills are necessaryLanguage SkillsStrong written and verbal English communication skills are necessaryKnowledge Skills and Ability Requirementsbull Experience and knowledge of insurances and prior authorizationsbull Experience in Home Health and Hospice services and guidelinesbull Knowledge of Government Medicare Advantage and Commercial payorsbull Experience with payor portals and clearinghousesbull Ability to effectively and professionally communicate with physicians clinical and administrative staff managers patients and insurance companiesbull Must be self motivated and have the ability to work independently and within a teambull Excellent verbal and written communication skillsbull Demonstrates excellent computer skillsbullMust demonstrate strong organizational skillsMinimum RequirementsPreferred RequirementsEducationHigh School GraduateDiplomaEducationHigh School GraduateDiplomaExperienceMinimum one year experience working with insurances and prior authorizations preferredExperienceTwo ndash four years experience within a healthcare setting and familiarity with payor sources processes and guidelinesLicensure Certification RegistrationLicensure Certification RegistrationLanguage SkillsStrong written and verbal English communication skills are necessaryLanguage SkillsStrong written and verbal English communication skills are necessaryKnowledge Skills and Ability Requirementsbull Experience and knowledge of insurances and prior authorizationsbull Experience in Home Health and Hospice services and guidelinesbull Knowledge of Government Medicare Advantage and Commercial payorsbull Experience with payor portals and clearinghousesbull Ability to effectively and professionally communicate with physicians clinical and administrative staff managers patients and insurance companiesbull Must be self motivated and have the ability to work independently and within a teambull Excellent verbal and written communication skillsbull Demonstrates excellent computer skillsbullMust demonstrate strong organizational skills