Insurance Specialist - Home Care

About the role

Join a Team That Truly Cares At Care Advantage, we believe exceptional care starts with exceptional people. For nearly 40 years, we've helped seniors and families remain safe, comfortable, and independent at home through compassionate, high-quality care. As we continue to grow, we're seeking an experienced and detail-oriented Insurance Specialist to join our Medicaid and Insurance Services team.

Responsibilities

• Manage Medicaid and Long-Term Care Insurance authorizations from start of care through discharge.
• Submit, extend, renew, and update authorizations as client needs change.
• Verify insurance coverage and eligibility prior to service initiation.
• Navigate insurance, Medicaid, MCO, and Atrezzo portals to obtain and maintain approvals.
• Communicate with families, social service agencies, healthcare plans, and internal teams regarding eligibility and authorization requirements.
• Maintain accurate client records and documentation.
• Build positive relationships with managed care organizations and payer partners.
• Support billing and compliance requirements through timely and accurate documentation.
• Collaborate with branch and clinical teams to ensure seamless service delivery.
• Affiliate with special projects and other duties as assigned.

Qualifications

• High School Diploma or GED
• Strong administrative and organizational skills
• Excellent verbal and written communication abilities
• Proficiency with Microsoft Office applications
• Ability to analyze information and maintain accurate records

Benefits

Competitive compensation
Comprehensive benefits package
Career growth and advancement opportunities
Supportive leadership and collaborative culture
Ongoing professional development

Pay

Commensurate with experience

Schedule

Hybrid/Remote flexibility based on business needs