Insurance Authorization Coordinator, PRN, Post-Acute Care

Silver Spring, MD
Jan 28, 2022
Feb 10, 2022
Healthcare, Insurance
Full Time
Adventist HealthCare seeks to hire an Insurance Authorization Coordinator for Post-Acute Care (PAC) Services who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a PAC Insurance Authorization Coordinator, you will:
• Receives and accurately enters patients' insurance information from Intake
and Community Liaisons into the appropriate documentation system
• Verifies referred patients' insurance benefits, obtains initial insurance
authorization and precertification to provide post-acute services for
Medicare, Medicaid and all other third-party payers.
• Obtains third Party authorizations for visits & medical supplies for home
health visiting staff/patients with appropriate documentation in EMR
• Track visits used by home health patients to ensure that they are within
authorization limits of payors
• Serves as a consultant to patients and family members on updating their
insurance information with employers, Social Security and CMS
• Provides insurance verification documentation as needed for denials as
well as any other billing and collection to support Reimbursement
• Collaborates with all members of the PAC Center to facilitate patients'
smooth transition to the post-acute setting

Qualifications include:
• High School Diploma or equivalent required; 2-year degree/Associates
• 3 years' experience in acute rehabilitation, home health, healthcare billing,
managed care/HMO/Payer, case management, utilization management or
related fields required.
• 2-4 years medical office/healthcare environment and/or Medical benefit
coordination experience preferred
• Ability to create a positive and engaged work environment
• Ability to thrive in a fast-paced work environment
• Microsoft Office Suite proficiency (Outlook, Word, and Excel)

At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non-rotating shifts
• Recognition and rewards for professional expertise

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist Healthcare team today! Apply now to be considered.

Work Schedule:

Variable Part Time

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.

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