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What is the role of a HME Authorization Specialist at Giving Home Health Care?

The HME Authorization Specialist position at Giving Home Health Care is a Full-time or part-time position opportunity in the Medical field.

Where is this HME Authorization Specialist job located?

Austin, Texas, 78701, United States

What type of employment is offered for this HME Authorization Specialist role?

Full-time or part-time position

What is the expected salary for this HME Authorization Specialist job?

Compensation will be discussed during the hiring process.

HME Authorization Specialist job near me in Austin, Texas at Giving Home Health Care

HME Authorization Specialist

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah.

If youre a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most.

The HME Specialist will serve as a critical member of the Giving Home Medical Equipment patient service team, specializing in the Prior Authorization Management. As part of the HME Operations Team which compiles, submits, and manages all Prior Authorization requests to the Dept of Labor.

Responsibilities:

Submit a high volume of complete and verified Authorization Packets working from multiple task and priority lists.
Manage Payor Portal Authorization updates and communicate these updates to team members.
Update Patient Records appropriately based on Authorization responses.
Update Salesforce and Brightree appropriately based on Authorization responses to direct actions to team members.
Complete tasks and Authorization requests promptly and within allowable timelines.
Scanning of mailed responses from Payors into Brightree and Salesforce systems and communicating responses to team members.

Payor Communication

Place calls to DOL Medical Benefits Examiners to determine the reasoning behind Authorization processing decisions.
Receive calls from DOL Medical Benefits Examiners regarding questions for submitted Authorization Requests.
Communicate effectively and professionally with Payor representatives to ensure appropriate processing of Authorization Requests.

Compliance and Communication

Communicate with patients/care team members/DOL via inbound and outbound phone calls.
Act as a liaison between patients, Home Health teams, clinicians, and payers to ensure seamless communication and service delivery.
Assist GivingHME as a whole by performing additional duties and responsibilities as necessary to provide the best care possible for patients.

Qualifications:

High school diploma or GED required; Associate’s or Bachelor’s degree in a healthcare-related field preferred.
Minimum 3 years of experience in a DME business environment, healthcare administration, preferred.
Familiarity with DOL, DEEOIC, and private insurance billing processes is a plus.
Deep and instinctual understanding of Durable Medical Equipment and Home Medical Equipment. Its use, functions, and care.
Excellent communication and customer service skills.
Strong and kind phone presence.
Detail-oriented with strong organizational and time management abilities.
Brightree Experience.
Salesforce experience.
Strong time management skills.

Requirements:

Office-based, on-site role.
May require standing, sitting, or lifting equipment up to 50 pounds.
Must be able to work collaboratively in a fast-paced, compliance-focused healthcare environment.

To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. Were committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.

If youre ready to be part of an organization that truly makes a difference in peoples lives, we encourage you to apply today and start a fulfilling journey with Giving Home!

Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices.

Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination.

Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated.

HME Authorization Specialist in Austin, Texas at Giving Home Health Care

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