Insurance Authorization Coordinator

The Pennant Group • Synergy Shared Services-ID-Remote, ID

2d

About The Position

Pennant is seeking an Insurance Authorization Coordinator to oversee payer authorizations for home health and hospice patients. The role is responsible for securing timely, accurate coverage from admission through discharge, coordinating with scheduling teams so clinical services begin only after authorization is confirmed, and helping ensure uninterrupted patient care and sound financial operations. The coordinator also supports compliance with payer contracts and regulatory standards and reports on authorization status, denial rates, and turnaround times.

Requirements

• At least 3 years of dedicated experience in insurance verification and authorization, specifically in Home Health or Hospice.
• Expert knowledge of Medicare, Medicaid, and commercial insurance authorization processes and documentation requirements for episodic and per diem payments.
• Proficiency with electronic medical record (EMR) systems and authorization tracking software.
• Superior analytical and organizational skills and meticulous attention to detail.
• Ability to navigate complex payer portals and communication channels.
• Strong interpersonal skills for collaboration with clinical and scheduling staff.
• Ability to lead a team in a high-volume, deadline-driven environment.
• Commitment to regulatory compliance and ethical billing practices.

Nice To Haves

• Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field.
• Experience with utilization review and appeals processes.

Responsibilities

• Submit and track initial insurance authorization requests for home health and hospice patients accurately and on time.
• Coordinate with scheduling teams to arrange start of care and ensure clinical services are delivered only after authorization is confirmed.
• Obtain authorization following submission of the 485 Plan of Care.
• Manage add-on authorizations when changes to a patient's plan of care require them, such as increased visits or new services.
• Establish and monitor a process to re-verify eligibility on the 1st and 5th of each month for active patients, identifying and resolving changes in insurance status.
• Act as the escalation point for complex authorization denials or issues and communicate directly with insurance carriers.
• Ensure authorization processes comply with payer contracts and regulatory standards.
• Generate reports on authorization status, denial rates, and turnaround times.
• Lead the authorization team in a high-volume, deadline-driven environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed