Work whereevery momentmattersEvery day almost Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network as an Authorization SpecialistHartford HealthCare at Home the largest provider of homecare services in Connecticut has been fulfilling our mission for more than years Our Person Centered Care Model allows our employees to learn and grow within our organization all while providing integrated support to the patient As part of Hartford HealthCare we leverage cutting edge technology to provide quality care in our clientrsquos home Most importantly our employees are appreciated for the real differences they make in both the lives of their clients and their clientsrsquo familiesUnder 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 departmentsVerifies insurance eligibility and prior authorizations accurately and timely for Home Health and Hospice clients Reviews daily workflows communicates updates to leadership ensures authorization details are entered for timely billing and reports coverage issues as neededObtains prior authorizations from insurance companies by phone fax or portals submits required clinical documentation accurately records authorization details in HCHB and communicates any changes in authorization or eligibility to regional leadershipIndependently prioritizes work keeps skills and knowledge current to serve as an insurance resource protects confidentiality and communicates professionally with payors clients and colleaguesEnsures accurate account management and timely authorization requests per payor guidelines reports delays to the Manager supports denial audits and collaborates with hospital departments on billing and authorization processesAssists with training of new prior authorization staff and other duties as assignedWork whereevery momentmattersEvery day almost Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network as an Authorization SpecialistHartford HealthCare at Home the largest provider of homecare services in Connecticut has been fulfilling our mission for more than years Our Person Centered Care Model allows our employees to learn and grow within our organization all while providing integrated support to the patient As part of Hartford HealthCare we leverage cutting edge technology to provide quality care in our clientrsquos home Most importantly our employees are appreciated for the real differences they make in both the lives of their clients and their clientsrsquo familiesUnder 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 departmentsVerifies insurance eligibility and prior authorizations accurately and timely for Home Health and Hospice clients Reviews daily workflows communicates updates to leadership ensures authorization details are entered for timely billing and reports coverage issues as neededObtains prior authorizations from insurance companies by phone fax or portals submits required clinical documentation accurately records authorization details in HCHB and communicates any changes in authorization or eligibility to regional leadershipIndependently prioritizes work keeps skills and knowledge current to serve as an insurance resource protects confidentiality and communicates professionally with payors clients and colleaguesEnsures accurate account management and timely authorization requests per payor guidelines reports delays to the Manager supports denial audits and collaborates with hospital departments on billing and authorization processesAssists with training of new prior authorization staff and other duties as assignedEducation High School GraduateDiploma requiredExperience Minimum one year experience working with insurances and prior authorizations preferred Two ndash four years experience within a healthcare setting and familiarity with payor sources processes and guidelines preferredStrong written and verbal English communication skills are necessaryKnowledge Skills and Ability Requirements bull Experience and knowledge of insurances and prior authorizations bull Experience in Home Health and Hospice services and guidelines bull Knowledge of Government Medicare Advantage and Commercial payors bull Experience with payor portals and clearinghouses bull Ability to effectively and professionally communicate with physicians clinical and administrative staff managers patients and insurance companies bull Must be self motivated and have the ability to work independently and within a team bull Excellent verbal and written communication skills bull Demonstrates excellent computer skills bull Must demonstrate strong organizational skillsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEducation High School GraduateDiploma requiredExperience Minimum one year experience working with insurances and prior authorizations preferred Two ndash four years experience within a healthcare setting and familiarity with payor sources processes and guidelines preferredStrong written and verbal English communication skills are necessaryKnowledge Skills and Ability Requirements bull Experience and knowledge of insurances and prior authorizations bull Experience in Home Health and Hospice services and guidelines bull Knowledge of Government Medicare Advantage and Commercial payors bull Experience with payor portals and clearinghouses bull Ability to effectively and professionally communicate with physicians clinical and administrative staff managers patients and insurance companies bull Must be self motivated and have the ability to work independently and within a team bull Excellent verbal and written communication skills bull Demonstrates excellent computer skills bull Must demonstrate strong organizational skillsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment