Home Health & Hospice Authorization Specialist

Description

A Home Health and Hospice Authorization Specialist obtain and manages insurance authorizations to support timely start and continuation of home health and hospice services.

Responsibilities and Duties:

• Obtain initial and ongoing authorizations for home health and hospice services

• Verify eligibility, benefits, and authorization requirements via phone and payer portals

• Submit authorization requests accurately and within required timeframes

• Track authorization status and follow up on pending requests

• Review documentation for completeness prior to submission

• Communicate approvals, denials, and updates to intake and clinical teams

• Maintain accurate records in EMR systems and payer portals

• Promote a Friendly, Positive, and Excellence-Focused environment

• Perform other duties as assigned

Requirements

Competencies:

• Strong communication, organization, and follow-up skills

• High attention to detail and accuracy

• Ability to manage multiple deadlines independently and collaboratively

Job Qualifications:

• High school diploma required; degree preferred

• 1+ year of authorization or healthcare administrative experience preferred

• Knowledge of Home Health/Hospice and insurance plans (Medicare/Medicaid/commercial) preferred

Physical Requirements:

• Ability to sit, stand, walk, bend, reach, lift, and move about

• Ability to communicate effectively, both orally and in writing

Schedule:

• Full-Time

• 8 Hour Shifts

• Monday - Friday