Insurance and Authorization Specialist

Lincare is one of the nation’s leading provider of oxygen, durable medical equipment and clinical respiratory services. We are currently seeking an Insurance and Authorization Specialist to join our Surprise location.

WHY WORK AT Lincare?

• Culture- An inclusive, open and friendly environment focused on our associates and their success
• Benefits- Comprehensive benefits package with flexible options to fit your individual needs
• Growth- An industry leader who continues to transform the way respiratory care is delivered to our patients

The Insurance and Authorization Specialist is responsible for obtaining benefits and eligibility information and submitting authorization and subsequent re-authorization for patients requiring specialty medical equipment

Responsibilities:

• Run eligibility and benefits
• Call insurance to go through individual HCPCs and Policy
• Analyze paperwork to assure that all required documentation has been received and that patient qualifies under the insurance guidelines
• Work with local center or directly with referring provider if additional documentation is needed
• Review paperwork for completion
• Request authorization and follow-up on authorization
• Attach all documentation to the electronic medical record system via a systematic naming process
• Input thorough notes in electronic medical record system
• Send to do’s to Regional Bulling Centers to update insurance when an existing patient requires an insurance change
• Communicate with the local center on authorization process
• Use critical thinking skills and payer knowledge to determine what dates to submit for authorization for existing patients needing authorization

Requirements:

• Read and analyze documents such as patient orders
• Effectively communicate with co-workers and patients alike
• Calculate figures and amounts in reference to frequency and doses dispensed
• Apply common sense understanding to carry out oral and written instructions

Education and Experience:

• High school diploma or general education degree (GED), related experience and/or training, or equivalent combination of education and experience
• Medical billing/coding experience preferred
• Health insurance authorization submission experience preferred
• Computer entry experience necessary

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Tuition reimbursement
• Vision insurance
• Wellness program

Weekly day range:

• Monday to Friday

Ability to Relocate:

• Surprise, AZ 85378: Relocate before starting work (Required)

Work Location: In person