Prior Authorization Representative, Administrator

For over 30 years, PASCO has been committed to delivering exceptional care and advocacy for clients and families living with disabilities. Our mission is to help clients lead fulfilling lives in the comfort of their homes. We prioritize hiring qualified candidates and supporting their professional and personal growth. Beyond competitive pay, we offer a range of customizable benefits, including medical, dental, and vision coverage, learning opportunities, bonuses, PTO, a 401(k), a dog-friendly workplace, and company-paid life insurance.

Are you ready to play a pivotal role in the efficient delivery of home care services? Join PASCO as a Prior Authorization Representative (PAR) in the Administration department and be part of a dynamic team dedicated to ensuring the authorization and eligibility of home care services.  

POSITION

PAR Administrator

POSITION PURPOSE

The PAR Administrator plays a crucial role in supporting PASCO Home Health by ensuring the verification of initial and ongoing payer authorization and eligibility for home care services.  Not only will you be monitoring and ensuring that all client service authorizations meet payer requirements, but you will also have the opportunity to review and process authorizations, maintain professional communication with stakeholders, and stay updated on home care insurance practices. 

DUTIES & RESPONSIBILITIES

- Verifies insurance eligibility an authorization of current and potential home care clients in an accurate and timely manner.

- Communicates payer authorization and eligibility information to Clinical Manager, Case Manager or other appropriate parties.

- Enters insurance authorization and eligibility information.

- Performs re-authorization and eligibility checks in a timely manner.

- Communicates and documents information regarding change in authorization and eligibility to PASCO personnel.

- Monitors and ensures all client authorization of services are current and quantity and type of services provided meet payer requirements.

- Reviews and ensures appropriate processing of authorizations.

- Sends informational correspondence to payer.

- Maintains professional, positive and effective communication with payers, clients, and PASCO employees.

- Maintains confidentiality of all information pertaining to clients, families and employees.

- Consults with PASCO management and clinical employees.

- Performs other related duties and responsibilities as assigned by the PASCO.

- Maintains knowledge and education to remain current, efficient and productive as a home care insurance and payer resource.

- Demonstrates self-direction to prioritize and accomplish job responsibilities.