Post-Acute Solutions Authorization Specialist

Genesis Healthcare • Lancaster, PA • 13h ago

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

Are you a healthcare professional with a knack for navigating complex insurance landscapes? Do you thrive in a fast-paced environment where your expertise directly impacts patient care and revenue outcomes? If so, we want you to join our dynamic team as a Post-Acute Solutions Authorization Specialist!

You'll play a pivotal part in our pre-admission process, ensuring seamless patient transitions, supporting a positive patient experience, and maximizing reimbursement. Your role is critical in securing necessary authorizations, verifying insurance benefits, and acting as a subject matter expert for all referrals and admissions.

Position Highlights

*Manage all pre-admission patient authorizations, prioritizing workload to ensure timely and accurate approvals.

*Navigate complex insurance policies, communicate effectively with providers and insurance companies, and act as an escalation point for payor issues.

*Utilize your knowledge of medical terminology, diagnosis codes, and healthcare insurance policies to secure appropriate payor sources.

*Serve as a liaison between various teams, including Business Development, Nursing Centers, and Revenue Cycle Management, fostering a collaborative environment.

*Coach team members on authorization processes and assist in maximizing Managed Care census and revenue.

*Accurately document all pre-authorization activities and utilize PCC reports to ensure compliance.

Qualifications

*Bachelor's degree in Healthcare Administration, Nursing, Business Administration Information Technology, or a related field preferred.

*Minimum of three (3) years of experience in a healthcare support role or related field.

*Strong knowledge of healthcare technology and systems.

*Excellent communication, interpersonal, problem-solving, and leadership skills.

*Ability to work collaboratively with cross-functional teams and stakeholders.

*Strong analytical skills, with the ability to interpret data, analyze trends, and develop actionable insights.

*Proficiency in Google Suite, Microsoft Office Suite and CRM software.

*Willingness to travel nationally as needed.

Benefits

*Variable compensation plans

*Tuition, Travel, and Wireless Service Discounts

*Employee Assistance Program to support mental health

*Employee Foundation to financially assist through unforeseen hardships

*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Nursing Tuition Assistance Program

We also offer several voluntary insurances such as:

*Pet Insurance

*Term and Whole Life Insurance

*Short-term Disability

*Hospital Indemnity

*Personal Accident

*Critical Illness

*Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $70,000.00 - USD $78,000.00 /Hr.

Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed.

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