Prior Authorization Specialist – Home Health
About The Position
Dependable Health Services is seeking an organized, detail-oriented Prior Authorization Specialist to support its Las Vegas Home Health team. The role helps ensure patients receive timely care by obtaining prior authorizations, verifying insurance coverage, tracking approvals, and resolving insurance-related concerns. The position is full-time and in-office in Las Vegas, Nevada; it is not remote. The specialist works with insurance providers and internal intake, clinical, scheduling, and billing teams in a fast-paced healthcare environment. The role requires accurate documentation and attention to insurance requirements, authorization timelines, and patient service limitations.
Requirements
- High school diploma or GED required.
- Knowledge of insurance eligibility, benefits, and authorization requirements.
- Familiarity with Medicare Advantage, Medicaid, and commercial insurance plans.
- Strong computer skills and excellent attention to detail.
- Excellent communication, organizational, and problem-solving abilities.
- Ability to multitask, prioritize deadlines, and work efficiently in a busy office.
- Professional, dependable, and team-oriented attitude.
Nice To Haves
- Previous healthcare prior authorization and/or insurance verification experience preferred.
- Home Health or Hospice experience strongly preferred.
- Experience with insurance portals and electronic medical records (EMR/EHR) preferred.
Responsibilities
- Obtain and process prior authorizations for Home Health services.
- Verify patient insurance eligibility, coverage, and benefits.
- Submit authorization requests and required documentation to insurance providers.
- Monitor pending authorizations and follow up to ensure timely approvals.
- Track authorization expiration dates, approved visits, and service limitations.
- Request authorization extensions and additional visits when necessary.
- Communicate with insurance companies to resolve coverage discrepancies, authorization delays, and denials.
- Maintain accurate insurance, demographic, and authorization information in electronic medical records.
- Collaborate with intake, clinical, scheduling, and billing teams to prevent delays in patient care.
- Ensure compliance with insurance requirements and maintain organized documentation.
Benefits
- Competitive compensation.
- Comprehensive benefits package.
- Paid Time Off (PTO).
- Supportive and collaborative team environment.
- Opportunities for professional growth.
- Full-time, stable employment.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
