Insurance & Authorization Coordinator

About the role

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Insurance & Authorization Coordinator based in the United States. This is a remote, full-time healthcare operations role focused on insurance verification, authorization, and accurate patient funding information. You’ll help ensure benefits, eligibility, authorizations, and patient liability are confirmed before clinical teams begin or continue care. The role involves working across payer portals, electronic medical records, patients, providers, clinical teams, scheduling, and billing. You’ll manage recurring insurance and authorization workflows while investigating discrepancies and resolving issues that could affect patient care or reimbursement. Attention to detail is essential, as accurate documentation helps reduce write-offs and prevent delays in claims and services. You’ll work independently while collaborating closely with multidisciplinary teams in a structured, workflow-driven environment. This position is ideal for someone with healthcare insurance experience who is organized, patient-focused, and comfortable navigating complex payer requirements.

Responsibilities

• Obtain detailed and accurate insurance benefit information through payer portals, phone calls, and fax for accepted home health insurance plans.
• Verify and document patient and policy information, including patient name, date of birth, policy numbers, eligibility, deductibles, copayments, coinsurance, and out-of-pocket maximums within the electronic medical record.
• Monitor daily insurance-related workflows, including Medicare eligibility verification, completed insurance follow-ups, eligibility alerts, initial verifications, recertifications, resumption of care, and other insurance-related tasks.
• Review entitlement verification reports and investigate questionable or inconsistent eligibility results.
• Monitor and resolve insurance changes and funding-source update issues, including monthly Medicaid and HMO status reviews and recurring checks for payer or agency changes.
• Contact patients, hospitals, physician offices, and other relevant parties to obtain missing information or clarify benefit details.
• Support scheduling teams when funding-source issues affect the ability to schedule visits with clinical staff.
• Coordinate provider or agency transfer documentation within required timeframes to help minimize avoidable write-offs.
• Obtain initial, prior, and ongoing authorizations as required by payers through phone, fax, or payer portals, and maintain accurate authorization information in the electronic medical record.