Almost Family is hiring an Authorization Specialist to work at any one of our Wisconsin offices:

• Fond du Lac
• Onalaska
• Green Bay
• Oconto
• Eau Claire
• Marinette
• Chilton
• Menasha

Almost Family 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. More than 60 leading 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.

• Obtaining authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner
• Monitors documentation of 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.
• Ensures additional pre-certification is obtained as needed and effective lines of communication are maintained between the agency and the payer.
• Performs quality reviews to ensure needed documentation is detailed in the legacy system as found in notes, tasks, workflow, email and or phone calls.
• Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
• Ensures the team members are accessing authorizations via email, telephone, fax, and/or on-line application in the most efficient and 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.

License, Registration, and / or Certification Requirement: No

Education Requirements

• Associate’s degree or a bachelor’s degree

Experience Requirements

• Three to five years of healthcare experience or equivalent home health case management

Experience Desired

• Revenue cycle experience.

• Excellent oral and written communication
• Excellent organizational and analytical
• General knowledge of rules and regulations governing third party
• Knowledge of general accounting
• Excellent interpersonal
• Positive customer relations skills and the ability to work effectively as a member of interactive teams

• Proficiency with various PC based software programs, e., Excel, MS Word, etc.