Authorization Coordinator-Home Care

Stella Maris is proud to provide central Maryland with compassionate, skilled home health care for adults. We specialize in home health care services that enable the patient to adapt and manage his or her medical situation in the comfort of their home. This is an exciting opportunity to work alongside dedicated clinicians to meet the needs of clients in the community we serve.

About the role

The Authorization Coordinator is a vital position to the overall function of the home health department. They support the department with administrative support and knowledge of insurance authorizations.

Responsibilities

• Obtain and track authorizations for home care, including pre-authorization, extension authorizations, and authorization-related appeals and denial management.
• Coordinate follow-up with third parties to ensure authorizations are obtained and errors corrected.
• Complete monthly insurance eligibility and benefits checks.
• Notify patients and staff of changes in coverage and out-of-pocket expenses.
• Document benefit, authorization, and other relevant billing information in the electronic health record.
• Maintain knowledge of payer’s authorization requirements and communicate professionally with authorization representatives to obtain necessary documentation.
• Obtain telephonic and online authorization of services daily.
• Upload information from the electronic health record into insurance company portals to obtain authorization for care.
• Document requests for and receipt of authorization, including effective and end dates for each discipline in the electronic health record.
• Follow up with clinicians on authorizations as needed.
• Manage all aspects of the HBS CareFirst process, including referral processing, patient contact, coordinating start of care with the scheduler, and sending updates through the HBS portal.
• Promptly answer incoming calls and appropriately transfer callers.
• Access and utilize information from multiple electronic health records and portals as needed.
• Follow all HIPAA, compliance, privacy, and confidentiality standards.
• Assist with intake coordination for new patients.

Requirements

• High school diploma or equivalent.
• Prior experience in home health required.
• Demonstrated ability to work well with staff, residents, and family members.
• Excellent written and verbal communication skills.
• Basic computer skills required.

Pay

Minimum USD $19.40/Hr. Maximum USD $29.10/Hr. Compensation decisions are made in alignment with internal equity, role scope, and market data to ensure fair and consistent pay practices. Most new hires are typically placed within the lower to mid-portion of the range; offers above that level are reserved for candidates with advanced or highly specialized qualifications.

Schedule

Full-time, Monday - Friday, 8:00 AM - 4:30 PM.

Benefits

• Paid time off (PTO) and company-paid holidays.
• Tuition reimbursement.
• 403(B) retirement plan with generous company match and “Catch Up” provision.
• Competitive health, prescription, vision, and dental benefits.
• Discounts on auto and home insurance and Verizon plans.
• Pet Wellness coverage, legal assistance, and identity protection.
• Mental health resources and other employee-related wellness opportunities through the Employee Assistance Program.
• Perks at Work – savings on favorite brands, travel, tickets, dining, and more.