Healthcare Authorization Coordinator I

Pinnacle Career • Oldsmar, FL

9d

About The Position

Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –– at home. Pinnacle Home Care, Florida’s largest Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for an Authorization Coordinator to join our award-winning team.

Requirements

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Health Care experience, preferably Home Health Care experience (minimum 1 year)
• Authorizations experience- preferred (minimum 1 year)
• Strong people skills with the ability to communicate effectively with diverse populations.
• Knowledge of medical terminology, CPT, HCPCS, and ICD coding.
• Strong organizational and time management skills with the ability to effectively prioritize and complete tasks with attention to detail while managing multiple responsibilities.
• Strong written and verbal communication skills with the ability to address customer concerns in a courteous and timely manner.
• Ability to maintain confidentiality and adhere to HIPAA regulations.
• Commitment to providing compassionate and patient-centered care.
• Strong knowledge of relevant computer systems and proficient computer literacy skills

Responsibilities

• Coordinate and process patient authorization to completion with precision, detail, and accuracy.
• Serve in a highly patient-focused role that works directly with our branches, clinicians, Case Managers, Care Coordinators, Physicians/ PCP(s), insurance representatives, outside vendors, and other medical personnel.
• Communicate professionally relevant information to the appropriate teams.
• Transmit appropriate documents to support the authorization request throughout the life cycle of the patient treatment.
• Effectively manage authorization throughout the course of a patient episode to ensure that the patient’s treatment coincides with the authorization provided by the Insurance carrier.
• Monitor communications including faxes, emails and phones calls throughout the day to update patient authorization status and adhere to any failed communications or requests for additional information to process authorization.
• Identify and reconcile complex authorization issues in a timely manner.
• Meet productivity goals assigned by Authorization Leadership.
• Adhere to federal, state, and agency regulations and policies to maintain confidentiality of patients and agency information per HIPPA requirements.

Benefits

• Growth & Stability : Over two decades as Florida’s largest home health agency.
• Competitive Benefits & Perks : Including an employee referral program where you can earn rewards.
• Recognized Excellence : Ranked as a USA Today Top Workplace.
• Supportive & Fun Culture : Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED