Documentation and Authorization Specialist

Symbria • Full-time • Warrenville, IL, US • 1m ago

Overview

Symbria is looking to hire a Documentation and Authorization Specialist to our Team!

The primary responsibility of the Documentation and Authorization Specialist is to obtain signatures from licensed practitioners and patients on required therapy documentation in accordance with established procedures and in compliance with state and federal regulations. This position assists in obtaining insurance authorizations for therapy and populating approval data in designated system(s) and provides administrative assistance and support to the Symbria Rehab management team as needed.

Work Schedule

Monday-Friday 8:30 to 5pm CST

Responsibilities

Procure physician signatures on therapy Plan of Care (POC), physician orders, and delayed certification forms per established procedures timely and accurately.
Monitor progress of outstanding documents awaiting signature, contacting practitioners via telephone when necessary.
Provide feedback to IT department regarding issues or optimization opportunities with the POC software.
Research physician contact information to populate databases.
Populate signed POC information into NetHealth.
Fax and/or call insurance plans with POC information to obtain authorization to treat for therapy.
Populate NetHealth/Alinea with insurance authorization approval information as obtained.
Gather patient or responsible party signature or telephone approval on assignment of benefit forms.
Provide procedural feedback to optimize departmental effectiveness.
Communicate with Symbria staff, clients, physicians, and any other entity needed to complete assigned duties in a clear and concise manner.
Any and all other duties as assigned.

Qualifications

To perform this job successfully, the ability to perform each essential duty satisfactorily is necessary and the qualifications listed below are representative of the knowledge, skill, and/or ability required:

High School diploma or general education degree (GED).
Ability to translate medical terminology and interpreting orders for use in authorization process; minimum one year.
Knowledge of general administrative procedures and experience; minimum two years.
Ability to exercise outstanding client service relations and professional verbal and written communication skills.
Excellent time management skills with proven ability to maintain organization, multi-task and pay attention to detail while working on several tasks simultaneously.
Proficient use of computers and Microsoft Office: Word, Excel, and Outlook; advanced experience with Microsoft Excel preferred.

Why work for us?

At Symbria our employees act like owners – because we are owners! As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents. Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together:

Integrity – Honest, Fairness and ethics
Compassion – Commitment to serving seniors
Stewardship – Maximizing mission and margin
Innovation – Striving to enhance our value to your organization
Teamwork – Working together unselfishly toward goals

As an employee-owner, Symbria’s success becomes your success. In addition, we provide:

Competitive pay, aligned with market guidelines
Full Benefits Package, including very generous paid time off plans
Professional liability coverage
100% employer-funded ESOP retirement plan
401(k) and Roth(k) plans
Continuing education
Credit union membership

All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.

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