Revenue Cycle Representative - Auth & Eligibility at RESMED MOTOR TECHNOLOGIES INC

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

11 Mar, 26

Salary

0.0

Posted On

11 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Prior Authorizations, Documentation, Collaboration, Problem Solving, Attention to Detail, Organizational Skills, Communication Skills, Interpersonal Skills, EHR Proficiency, Medical Terminology, Payer Requirements, Regulatory Guidelines, Process Improvement, Home Health Services, Hospice Services

Industry

Medical Equipment Manufacturing

Description

Job Title: Authorization & Eligibility Specialist – Home Health & Hospice Department: Billing Services – RCM Reports To: Supervisor, Billing Services Location: Chennai, IN Job Type: Full-Time Position Summary: The Authorization & Eligibility Specialist plays a critical role in supporting the operational success of our Home Health and Hospice agencies. This position is responsible for verifying patient insurance eligibility, obtaining prior authorizations, and ensuring timely and accurate documentation to support patient access to care and reimbursement. As we continue to grow our Home Health and Hospice services, this role is essential to maintaining service excellence and operational efficiency. Key Responsibilities: Verify patient insurance eligibility and benefits for Home Health and Hospice services using payer portals, phone calls, and internal systems. Obtain and track prior authorizations from insurance providers in a timely manner to avoid delays in patient care. Accurately document all authorization and eligibility information in the appropriate systems. Collaborate with clinical, intake, and billing teams to ensure alignment and timely communication of authorization statuses. Monitor authorization expirations and proactively initiate renewals as needed. Resolve authorization and eligibility-related issues by working directly with payers and internal stakeholders. Maintain up-to-date knowledge of payer requirements, authorization processes, and regulatory guidelines. Participate in process improvement initiatives to enhance workflow efficiency and accuracy. Support onboarding and training of new team members as needed. Qualifications: High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred. Minimum of 2 years of experience in healthcare authorization, insurance verification, or medical billing, preferably in a Home Health or Hospice setting. Strong understanding of insurance plans, payer requirements, and medical terminology. Proficiency in using electronic health records (EHR) and payer portals. Excellent communication and interpersonal skills. Strong attention to detail and organizational skills. Ability to work independently and collaboratively in a fast-paced environment. Preferred Qualifications: Experience with Medicare, Medicaid, and commercial insurance payers. Familiarity with Home Health and Hospice billing and authorization processes. Bilingual skills are a plus. Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant. Resmed (NYSE:RMD, ASX: RMD) creates life-changing health technologies that people love. We’re relentlessly committed to pioneering innovative technology to empower millions of people in more than 140 countries to live happier, healthier lives. Our AI-powered digital health solutions, cloud-connected devices and intelligent software make home healthcare more personalized, accessible and effective. Ultimately, Resmed envisions a world where every person can achieve their full potential through better sleep and breathing, with care delivered in their own home. Learn more about how we’re redefining sleep health at Resmed.com and follow @Resmed.

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Responsibilities

The Authorization & Eligibility Specialist is responsible for verifying patient insurance eligibility and obtaining prior authorizations to ensure timely patient care. This role also involves documenting authorization information and collaborating with various teams to maintain operational efficiency.