<p>Work where every moment matters. Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.</p> <p>Hartford HealthCare Rehabilitation Network is the premier rehabilitation provider in Connecticut. We provide rehabilitation services across the continuum - acute care hospitals, long term care facilities, sub-acute rehabilitation, homecare, outpatient centers, and in community settings such as senior centers, work sites, and schools and colleges. We offer over 30 outpatient locations with a variety of specialists, including oncology, women's health, sports medicine, physical therapy, occupational therapy and speech language, we are known for our commitment to high quality, customer focused outcomes.</p> <p>Position Description</p> <p>Under the direction of the Supervisor of Administrative Rehab, the Authorization Specialist performs all duties related to insurance verifications, prior authorizations and re-authorizations in a timely manner. Maintains documentation and insurance portal access and ensures accurate records in the Electronic Medical Record (EMR). Monitors patient registrations and identifies and communicates errors. Communicates updates in insurance or regulatory guidelines to the supervisor/manager and relevant departments.</p> <p>Responsibilities</p> <ul> <li> <p>Verifies insurance eligibility, prior authorizations and re-authorizations accurately and timely for patients.</p> </li><li> <p>Reviews daily workflows, communicates updates to leadership, ensures authorization details are entered for timely billing, and reports coverage issues as needed.</p> </li><li> <p>Supports denial audits and collaborates with various departments around billing and general operations related to authorizations.</p> </li><li> <p>Obtains prior authorizations and re-authorizations from insurance companies by phone, fax, or portals.</p> </li><li> <p>Submits required clinical documentation, accurately records authorization details, and communicates any changes in authorization or eligibility to leadership.</p> </li><li> <p>Maintains confidentiality of all information pertaining to clients, families, and employees.</p> </li><li> <p>Ensures accurate account management and timely authorization requests per payor guidelines.</p> </li><li> <p>Reports authorization delays to the Supervisor/Manager.</p> </li><li> <p>High school diploma or equivalent required</p> </li><li> <p>1 year of experience working with insurances in a healthcare or rehabilitation setting required</p> </li><li> <p>2 years of experience in a healthcare setting and familiarity with payor sources, processes and guidelines, including prior authorizations preferred</p> </li><li> <p>Strong written and verbal English communication skills are necessary</p> </li></ul> <p>Knowledge, Skills and Ability Requirements</p> <ul> <li> <p>Experience and knowledge of insurances and prior and re-authorizations</p> </li><li> <p>Knowledge of Government, Medicare Advantage and Commercial Payors</p> </li><li> <p>Experience with payor portals and clearinghouses</p> </li><li> <p>Ability to effectively and professionally communicate with physicians, clinical and administrative staff, managers, patients and insurance companies</p> </li><li> <p>Must be self-motivated and can work independently and within a team</p> </li><li> <p>Excellent verbal and written communication skills</p> </li><li> <p>Demonstrates excellent computer skills</p> </li></ul> <p>We take great care of careers.</p> <p>With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.</p>