About Us Pinnacle Revenue Cycle Management specializes exclusively in Home Health and Hospice Revenue Cycle Management. We partner with home health agencies across the country to help manage their revenue cycle efficiently and accurately. We are seeking a motivated and detail-oriented Insurance Verification & Authorization Specialist to join our Intake Department. This is not a traditional patient intake position. Instead, this role focuses on verifying insurance benefits and obtaining authorizations that allow patients to receive home health services. Position Summary The primary responsibilities of this position are performing insurance eligibility verification, reviewing home health benefits, and obtaining prior authorizations from Medicare Advantage and commercial insurance plans. As your knowledge and experience grow, additional responsibilities and advancement opportunities will become available. Primary Responsibilities Verify insurance eligibility and benefits for home health patients. Review insurance coverage and determine authorization requirements. Obtain prior authorizations from Medicare Advantage and commercial insurance plans. Document eligibility and authorization information accurately in our internal systems. Contact insurance companies to verify benefits and authorization status. Follow up on pending authorizations to ensure timely patient admissions. Maintain accurate documentation of payer communications. Work closely with agencies and internal team members to resolve insurance-related issues. Meet productivity expectations while maintaining a high level of accuracy.

Qualifications Preferred:

Previous experience with insurance verification or prior authorizations. Experience in a medical office, physician practice, hospital, or home health setting. Strong attention to detail and organizational skills. Excellent communication and customer service skills. Ability to multitask and work efficiently in a fast-paced environment. Comfortable speaking with insurance companies by phone throughout the day. Basic computer proficiency and the ability to learn new software quickly. What We Offer Starting pay of $15.00 per hour Paid Holidays Opportunities for advancement within the company Comprehensive training on our internal systems Supportive and team-oriented work environment Monday through Friday schedule Ideal Candidate We're looking for someone who enjoys solving problems, is highly organized, and takes pride in accuracy. Experience with insurance verification or prior authorizations is highly valued, but we're also looking for someone with a willingness to learn and grow. This position is the foundation of our Intake Department, and as you develop your skills, you'll have opportunities to take on additional responsibilities and advance within the company.

Pay:

From $15.00 per hour Application Question(s): Describe your experience verifying insurance eligibility and obtaining prior authorizations.

Work Location:

In person