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Hospice Payer Verification/Authorization Specialist


Honolulu, Hawaii


Hospice Payer Verification/Authorization Specialist Job Opening in Honolulu, Hawaii - We're Expanding! Join Our Team!
Bristol Hospice promotes an environment where our hospice employees feel valued and welcomed. We recognize that satisfied employees give superior service. Bristol is making a difference in a positive, memorable way because Bristol is made up of passionate, committed people who have a desire to serve our community.
We proudly offer you:
flexibility
autonomy
growth opportunities
If embracing a reverence of life through offering care and assistance to those in need is what motivates you, then you may have what it takes to be a part of the Bristol team!
Bristol Hospice and its subsidiaries are equal opportunity employers.
JOB DESCRIPTION:
The Payer Specialist would be responsible for all verification of insurance and maintain all authorizations for hospice and hospice room and board patients. Data entry would be tracked by using the Month End Claims outstanding report and monthly DQR tracking tool. Other tasks would include:
Coordinate with onsite location for new admissions, as well as gather and validate intake data
Verify insurance, Medicare, Medicaid, and Medicaid Room and Board
Initiate authorizations for hospice care and hospice room and board
Submit room and board notice
Enter patient data for referral
Maintain current insurance authorizations
Audit all hospice admissions
Submit the Medicare Notice of Elections
Communicate directly with the Hospice Transition Specialist
Other duties as assigned
High School Diploma required, Associate Degree preferred
3+ years' experience with healthcare insurance
Ability to multi-task
Excellent organizational skills
Excellent communication skills, both verbal and written
Problem-solving skills
Analytical skills
Type 50+ WPM
Experience working with all payer types to include Medicare, Medicaid, and commercial insurance companies
Knowledge of insurance verification and pre-certification procedures
BENEFITS & COMPENSATION:
Competitive salary commensurate with experience
Medical, Dental, Vision, Life, and Pet Insurance
HSA and 401k available
Paid Holidays & PTO
Job Type: Full-time
Job Location:
Honolulu, HI
Required education:
High school or equivalent
Required experience:
insurance: 3 years

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