Business Process Specialist - Authorizations

About the Role

Peoples Health Services is the only family-owned, locally governed Hospice and Home Health provider in the Florida Panhandle. We believe that when we take care of the people who care for our patients, everyone benefits. Join a team dedicated to caring for our community—and each other.

Responsibilities

• Obtain authorization for Home Care Services and ensure medical records are accurate, including proper and timely Physician signatures.
• Complete all necessary documentation for initial authorization in accordance with insurance company contracts.
• Handle follow-up authorization requests, notify staff of authorizations received, visit limits, and discharge needs due to denial.
• Maintain active and inactive medical records, including filing, scanning, and electronic file audits.
• Review patient forms and documents for compliance while maintaining confidentiality.
• Review Start of Care and Discharge documents for compliance.
• Greet visitors, customers, and staff professionally while maintaining confidentiality.
• Create admit packets and manage inventory.
• Prepare and distribute reports, memos, schedules, and other documents.
• Schedule employee training, in-services, CPR, and annual skills labs.
• Oversee front desk operations, including multi-line telephone systems, fax, copier, and general office equipment.
• Collect and distribute incoming mail and faxes to appropriate personnel or departments.
• Maintain a professional image and understanding of the company’s scope of services.
• Promote a customer-friendly atmosphere for coworkers and internal/external customers.
• Perform other duties as assigned.

Requirements

• High School Graduate (or equivalent).
• Knowledgeable in general office practices and procedures.
• Ability to function with frequent interruptions and handle multiple projects simultaneously.
• Proficiency in Microsoft Word, Excel, and PowerPoint.
• Knowledge of healthcare office functions is a plus.
• Ability to organize workflow efficiently with accurate results.
• Excellent customer service skills.

Benefits

• Competitive pay.
• Medical, dental, and vision benefits.
• Group life and short-term disability insurance.
• Paid Time Off (PTO) program.
• 6 paid holidays.
• Recognition programs.
• Work-life balance initiatives, including an annual Relax & Recharge Day.