Full-Time

Patient Authorization Coordinator

Posted on 2/5/2025

BrightSpring Health Services

BrightSpring Health Services

10,001+ employees

Healthcare

Compensation Overview

$25 - $35Hourly

Mid, Senior

Wayne, NJ, USA

Category
Administrative & Executive Assistance
Specialized Administrative Roles

You match the following BrightSpring Health Services 's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • High School Diploma/GED or equivalent required; Associate’s Degree or some college preferred
  • Minimum two (2) years of experience collecting referral information in the healthcare market
  • Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
  • Knowledge of insurance verification and pre-certification procedures
  • Understands the scope of services that Amerita can provide
  • Strong verbal and written communication skills
Responsibilities
  • Obtains core initial authorizations and re-authorizations as required for branch
  • Enters patient authorization information into the computer
  • Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient’s therapy
  • Communicates with other departments regarding the status of authorizations
  • Understands which insurance providers have active contracts with Amerita
  • Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill
  • Leads Patient Authorization Coordinator team in support of RCM to ensure billing and collections issues are researched and when possible, resolved
  • Maintains confidentiality of patient and proprietary information
  • Supports other branches as needed
Desired Qualifications
  • Associate’s Degree or some college preferred
BrightSpring Health Services

BrightSpring Health Services

View

Company Size

10,001+

Company Stage

IPO

Total Funding

N/A

Headquarters

Louisville, Kentucky

Founded

1974

Simplify Jobs

Simplify's Take

What believers are saying

  • Increased demand for home healthcare services due to an aging population.
  • Growing interest in telehealth enhances BrightSpring's service delivery capabilities.
  • Rising investment in mental health services complements BrightSpring's offerings.

What critics are saying

  • Retirement of Chief Legal Officer may affect corporate governance.
  • Schall Law Firm's investigation could lead to legal challenges.
  • Acquisition of Haven Hospice may strain financial resources if synergies aren't realized.

What makes BrightSpring Health Services unique

  • BrightSpring focuses on expanding hospice care services, recently acquiring Haven Hospice.
  • The company emphasizes value-based care models, aligning with industry trends.
  • BrightSpring integrates telehealth and remote monitoring to enhance patient engagement.

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Benefits

Flexible Work Hours

Company News

BH Business
Jan 21st, 2025
BrightSpring Sells IDD Business to Sevita for $835M

BrightSpring sells IDD business to Sevita for $835M.

MarketScreener
Oct 11th, 2024
BrightSpring Health Services, Inc. Announces Retirement of Steven S. Reed as Chief Legal Officer and Corporate Secretary

BrightSpring Health Services, Inc. announces retirement of Steven S. Reed as Chief Legal Officer and Corporate Secretary.

GlobeNewswire
Sep 30th, 2024
BrightSpring Health Services, Inc. Welcomes Dr. Steve Miller to Board of Directors

BrightSpring Health Services, inc. welcomes Dr. Steve Miller to Board of Directors.

Investing.com
Sep 13th, 2024
KKR entities buy BrightSpring Health shares worth over $129 million

BrightSpring recently completed the purchase of Haven Hospice assets in North Central Florida, a $60 million transaction that expands its hospice care services across 18 counties.

TipRanks
Sep 3rd, 2024
BrightSpring Health completes acquisition of Haven Hospice

BrightSpring Health completes acquisition of Haven hospice.

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