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Wellforce Utilization Review Authorization Specialist in Lawrence, Massachusetts

Home Health Foundation is seeking only the best! We are proud of our 125-year history of employing exceptional people who deliver exceptional care through a range of medical professional, paraprofessional and administrative roles. Are you ready to make a difference, in your life and for your community? Apply today to join our team of healthcare heroes.

The UR Authorization Specialist assists with the coordination of managed care patients, follows procedures to obtain needed authorizations, documents necessary authorization/utilization information in patient electronic medical record, tracks appropriate utilization of services and has knowledge of reimbursement guidelines.

Required Education and Experience

  • Knowledge of insurance authorization/utilization process required.

  • Knowledge of in networks and out-of-network-payers, Medicaid, Medicare, and commercial plans preferred.

  • Coordination of benefits knowledge preferred.

  • Exceptional documentation, communication and organizational skills.

  • Associate‚Äôs Degree Preferred.

  • Computer literacy required.

  • Good customer Service Skills.

  • Ability to read/write and communicate in English.

  • Excellent interpersonal skills.

  • Ability to function well in very busy situations.

  • Responsible and reliable.

  • Good organization skills.

Home Health Foundation is an Equal Opportunity Employer and dedicated to the goal of building a diverse and inclusive workplace that reflects the patient population in which we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable law. Home Health Foundation is especially interested in candidates who, through their service, training and experience, will contribute to the diversity and excellence of our health care community.