Revenue Cycle Authorization Specialist

Key Responsibilities

• Verify patient eligibility and benefits for Home Health and Hospice services.
• Work assigned work queues to ensure all benefit-related tasks are completed in a timely manner.
• Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
• Submit initial and follow-up authorization requests, ensuring all required documentation is included.
• Review medical records for supporting documents needed for approvals.
• Communicate with field staff, branches, and facilities to obtain any missing information.
• Accurately document all verification and authorization steps in patients’ medical records.
• Collaborate with other departments and attend team meetings to share updates and resolve issues.
• Adhere to HIPAA regulations and maintain the confidentiality of all patient and organizational information.

Requirements

• Bachelor’s degree preferred.
• At least 3 years of experience in Home Care or Hospice strongly preferred.
• Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
• Proficient in Excel; working knowledge of PowerPoint and other Microsoft Office tools.
• Experience entering and managing data within electronic systems.
• Familiarity with HomeCare HomeBase software is a plus.
• Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment.
• Excellent communication and collaboration skills.

We Offer

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Additional Full-Time Benefits
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)