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Kindred at Home Clinical Authorization Specialist in Overland Park, Kansas

Job Description

I believe that better care begins at home.

Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services.

Kindred at Home, and its affiliates delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families.

As a Clinical Authorization Specialist , you will be responsible for the oversight and operation of clinical authorization requirements. Clinical support person for authorizations department in review of clinical information requirements from a variety of payor sources in order to reduce the risk of non-payment by insurance carriers. Works under general supervision.

  • Perform review of medical records and documentation related with an emphasis on eligibility requirements.

  • Ability to sort and compile patient medical record information to be consistent with home health eligibility requirements for Medicare, Medicaid, and various commercial policies.

  • Manage and communicate with the team on the appeal process.

  • Work with the field staff on obtaining all documentation necessary for clean claim billing.

  • Collaborate with senior management in the development and analysis of performance metrics to ensure department operations support the achievement of the Agency strategic goals and objectives

Required Skills

Qualifications:

  • RN required

  • One year experience with insurance billing

  • Familiarity with employment related regulations (state and federal) required

  • Ability to work with confidential information

  • Well organized and confident to work independently, but is a team player

  • Ability to communicate clearly to field, mid-level, and executive staff

  • Exercises professional judgment and demonstrates good problem-resolution skills

  • Very comfortable working with multiple online and computer applications

  • Ability to balance multiple tasks and manage conflicting priorities

  • Strong attention to detail and follow-up skills

Required Experience

MON

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

Position Type

Full-Time/Regular

Tracking Code

68242

Job Category: Administrative and Clerical

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