Revenue Cycle Authorizations Specialist

Description

At Accra, our mission is to improve lives by providing individualized homecare services and support to people living at home. We foster an environment where every employee is respected, celebrated, and encouraged to bring their whole self to work.

Why Work at Accra?

Accra offers a comprehensive benefits package designed to support your personal well-being, professional growth, and financial future:

• Work/Life Balance: Schedules designed to help you thrive.
• Generous PTO: Including an additional paid day dedicated to self-care and a separate paid day for community volunteering.
• Mental Health Support: Free wellbeing programs.
• Smart Financial Options: HSA & FSA plans to help you plan ahead.
• Secure Your Future: 401(k) retirement plan to invest in tomorrow.
• Comprehensive Benefits: Medical, dental, and vision coverage for full-time employees.
• Professional Development: Training and growth opportunities to advance your career.

About This Role:

The Revenue Cycle Authorizations Specialist I is responsible for obtaining and monitoring both initial and renewal authorizations in a timely manner. This position collaborates and communicates with both internal teams inside and outside of the revenue cycle department, as well as external county workers and case managers to ensure accurate client information is both included on the agreements and tracked. The ideal candidate will have familiarity with the prior authorization process or experience in billing claims with Minnesota Medical Assistance (MA) Electronic Remittances and have a working knowledge of the Minnesota PMAP program and the various service agreement types associated with them.

What You Will Do:

• Appropriately monitor, track, communicate, and archive authorizations by entering into Accra’s designated software systems and reporting.
• Track current authorizations and ensure timely updates are made prior to service agreement expiration date.
• Identify documentation needed to support requests for service agreements and work with the intake and case service teams to obtain current and correct authorizations.
• Check eligibility to determine current client status.
• Utilize the Outlook system to appropriately monitor and track incoming Service Agreements and disperse according to proper protocols.
• Collaborate with program and revenue cycle billing team members to review and resolve pending claims to ensure timely reimbursement.
• Research and resolve service agreement issues and report out missing authorizations.
• Understand and report out overspend in utilization where apparent.
• Provide excellent customer service to both internal and external customers and timely response to questions and issues related to coverage, pre-authorizations, forms, and benefit inquiries.
• Utilize various databases and a variety of software systems to input, retrieve, update and monitor various revenue cycle activities including eligibility, discharge, authorizations, reviewing and updating patient accounts, claims activities and denials associated with the authorization process.
• Additional Revenue Cycle projects and job duties as needed.

Requirements

• Associates degree or similar education and experience required.
• CFSS, PCA, 245D, and/or Home Health Care waiver billing experience preferred but not required.
• Familiarity of MNITS, Availity, clearinghouse usage preferred.
• Proven Revenue Cycle or Practice Management software knowledge and experience required.
• Proficient with Microsoft Office including Word and Excel.
• Proficient in Microsoft Outlook and Teams.
• Understanding of basic HIPAA regulations.
• General knowledge of CPT and ICD-10 coding principles and guidelines as related to authorizations.
• Excellent interpersonal and communication skills and strong ability to collaborate effectively.
• Strong organizational skills and attention to detail.
• Ability to work in a fast-paced, virtual business environment.
• Ability to meet metrics and key performance indicators as applicable to general RCM benchmarks.
• Previous remote work experience preferred.
• Must be able to meet Accra remote work experience requirements.
• Ability to work independently at times with little supervision.