Revenue Cycle Authorization Specialist

Gentiva•Mooresville, NC

About The Position

The Revenue Cycle Authorization Specialist verifies insurance eligibility, submits authorizations, and ensures timely and accurate processing of patient coverage across Medicare, Medicaid, and commercial payers. The role supports access to care and operations for Home Health and Hospice services. It involves working assigned benefit-related work queues, coordinating with insurance companies and internal teams, documenting work in patient medical records, and maintaining confidentiality in accordance with HIPAA.

Requirements

Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
Proficiency in Excel and working knowledge of PowerPoint and other Microsoft Office tools.
Experience entering and managing data within electronic systems.
Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment.
Excellent communication and collaboration skills.

Nice To Haves

Bachelor’s degree preferred.
At least 3 years of experience in Home Care or Hospice strongly preferred.
Familiarity with HomeCare HomeBase software is a plus.

Responsibilities

Verify patient eligibility and benefits for Home Health and Hospice services.
Work assigned work queues to complete benefit-related tasks in a timely manner.
Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
Submit initial and follow-up authorization requests with all required documentation.
Review medical records for supporting documents needed for approvals.
Coordinate with field staff, branches, and facilities to obtain missing information.
Document verification and authorization steps accurately in patient medical records.
Collaborate with other departments and attend team meetings to share updates and resolve issues.
Follow HIPAA regulations and protect the confidentiality of patient and organizational information.

Benefits

Competitive pay
401(k) with company match
Career advancement opportunities
National and local recognition programs
Teammate Assistance Fund
Medical, dental, and vision insurance
Mileage reimbursement or fleet vehicle program
Generous paid time off and 7 paid holidays
Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care
Education support and tuition assistance
Free continuing education units (CEUs)
Company-paid life and long-term disability insurance
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage