Home Health Insurance Authorization Specialist

Job Listing ID:

4473013

Job Title:

Home Health Insurance Authorization Specialist Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

04/15/2026

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly. (Obtain the contact information to print or add to your jobs.)

Job Summary:

Become a part of our caring community This is a full time remote position scheduled 40 hours a week for 8 hour shifts, 5 days a week. The schedule is Monday-Friday from 8:30am-5:00pm CST / 9:30am-6:00pm EST. As a Home Healthcare Insurance Authorization Specialist , you will report directly to the Authorization Supervisor and be responsible for: Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate. Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements. Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents. Alerts appropriate team members at the Site regarding late or missing documents required for billing. Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams. Maintain the confidentiality of patient/client and agency information at all times. Maintain accurate and up to date information for all vendor and nursing facility contracts. Keep information in an orderly manner readily accessible for review. Presents status as requested. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures Participate in special projects and performs other duties as assigned. Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary. Act as an information resource for any hard revenue generation issues or system issues. Basically the subject matter expert. Assure the completion and coordination of work in an associate's absence, or as needed to maintain departmental standards. Use your skills to make an impact

Required Experience/Skills:

One or more years of related experience and/or training preferred. Two or more years of Home Healthcare or Medical Office experience preferred. Knowledge of insurance reimbursement and authorization process preferred. Proficient in using computers and Microsoft Office applications, including Word, Excel, and Outlook. Two years college preferred.

Additional Information:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection ...

Job Classification:

Health Technologists and Technicians, All Other Access our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A