New 
Insurance Auth Spec - Texarkana, TX
 Lincare Holdings | |
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 Mar 25, 2026 | |
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The Insurance and Authorization Specialist is responsible for obtaining benefits and eligibility information and submitting authorization and subsequent re-authorization for patients requiring Enteral Nutrition or Oral Nutrition Supplements. For Part-Time positions, the standard hours will be determined at hire with a minimum of 17.5 hours and maximum of 35 hours with potential week to week fluctuation if desired.
Job Responsibilities: * Run eligibility and benefits * Call insurance to go through individual HCPCs and Policy * Analyze paperwork to ensure that all required documentation has been received and that patient qualifies under the insurance guidelines * Work with local center or directly with referring provider if additional documentation is needed * Review paperwork for completion * Request authorization and follow up on authorization * Attach all documentation to the EMR system via a systematic naming process * Input thorough notes in EMR system * Communicate with the local center on authorization process * Use critical thinking skills and payer knowledge to determine what dates to submit for authorization for existing patients needing authorization * Work on getting paperwork for re-authorization 30-45 days before expiration * Request authorizations 7-14 days before expiration, will receive report from Supervisor * Assist in calling centers for missing information or corrections * Answer phones and email questions from the centers * Works on denials received * Work with RBCO to determine denials and insurance issues * Communicate professionally with patients, medical professionals, and co-workers * Spend time getting eligibility and correct information on payers that require a more in-depth review | |