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Medical Insurance Verification & Authorization Specialist

Company: LHC Group Inc Home Office
Location: Lafayette
Posted on: December 2, 2019

Job Description:

Overview
LHC Group recently broke ground on a $46 Million dollar expansion project at our home office based out of Lafayette, LA. Come GROW with us! We are a growing company that values and rewards our team members and offers opportunities for growth. Join more than 32,000 team members who help to change lives every day.

LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people.

As noted by independent analysts, LHC Group consistently outperforms the industry in the percentage of our locations rating four stars or more. We are helping drive better outcomes for our patients nationwide.

Additional Details
Essential Functions

  • Verifies insurance eligibility and benefits of prospects/ referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
  • Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with our agencies.
  • Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to agency in an accurate and timely manner.
  • Reviews and replies to branch locations urgent requests in a timely and accurate manner.
  • Obtains all authorization as needed from payer for services ordered/requested in a timely manner
  • Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
  • Serves as a liaison between the branch location and the payer on a regular basis.
  • Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
  • Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
  • Problem solves independently before referring issues to the Supervisor/Manager for resolution.
  • Performs eligibility and or similar, comparable, or related duties as may be required or assigned.

    Qualifications
    Formal Education: High School Diploma or equivalent
    Experience: 1 year

    Experience Requirements
    • Medical billing/collections experience required.
      • Home Health billing/collections experience desired.
        Skill Requirements
        • Excellent oral and written communication skills.
          • Excellent organizational and analytical skills.
            • Basic PC skills including PC based applications (MS Word, Excel).
              • Mathematical aptitude.

                IND0519

                Company Description:

                Our company was founded over 20 years ago on the principle that ---it---s all about helping people,--- and we live by those words today. It---s our mission to provide exceptional care and unparalleled service to patients and families who have placed their trust in us. We grow to fulfill this mission. When you become part of the LHC Group family, you---re choosing a career path that will challenge you to grow both personally and professionally.Every day, all across the country, our LHC Group family is helping people. There are 10,000 of us, standing shoulder to shoulder, helping the patients in our care live, fuller, healthier lives. We do this because helping people is, quite simply, the reason we exist. It---s our purpose.--

Keywords: LHC Group Inc Home Office, Lafayette , Medical Insurance Verification & Authorization Specialist, Healthcare , Lafayette, Louisiana

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