Home Health & Hospice Authorization Specialist

Larry H. Miller Senior HealthSandy, UT
1d

About The Position

A Home Health and Hospice Authorization Specialist obtain and manages insurance authorizations to support timely start and continuation of home health and hospice services.

Requirements

  • Strong communication, organization, and follow-up skills
  • High attention to detail and accuracy
  • Ability to manage multiple deadlines independently and collaboratively
  • High school diploma required
  • 1+ year of authorization or healthcare administrative experience preferred
  • Knowledge of Home Health/Hospice and insurance plans (Medicare/Medicaid/commercial) preferred
  • Ability to sit, stand, walk, bend, reach, lift, and move about
  • Ability to communicate effectively, both orally and in writing

Nice To Haves

  • degree preferred
  • 1+ year of authorization or healthcare administrative experience preferred
  • Knowledge of Home Health/Hospice and insurance plans (Medicare/Medicaid/commercial) preferred

Responsibilities

  • Obtain initial and ongoing authorizations for home health and hospice services
  • Verify eligibility, benefits, and authorization requirements via phone and payer portals
  • Submit authorization requests accurately and within required timeframes
  • Track authorization status and follow up on pending requests
  • Review documentation for completeness prior to submission
  • Communicate approvals, denials, and updates to intake and clinical teams
  • Maintain accurate records in EMR systems and payer portals
  • Promote a Friendly, Positive, and Excellence-Focused environment
  • Perform other duties as assigned
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