Authorization Intake Specialist (LPN)

Job Description

Job Description

Seeking a detail-oriented Authorization & Intake Specialist (LPN) to support timely, compliant, and accurate admissions across all clinical programs.

Why You’ll Love Working With Us

• Generous Paid Time Off for work-life balance
• Comprehensive Benefits: Medical, Dental, Vision + Supplemental Insurance
• 401(k) with Company Match
• Company-Paid Life Insurance
• Tuition Reimbursement & Annual Training Budget for professional growth
• Employee Assistance Program (EAP)
• Additional perks: Legal, ID Protection, Pet Insurance, Financial Wellness Programs
  …and much more!

Department: Intake / Admissions
Employment Type: Full-Time
Schedule: Monday–Friday
Location: Missoula, MT

Pay: $31/hr

The Authorization & Intake Specialist (LPN) manages referrals, verifies eligibility, obtains payer authorizations, and reviews clinical documentation to ensure smooth, compliant onboarding for Home Health and Hospice patients. This role acts as a key liaison between referral partners, providers, payers, and clinical teams to support safe and efficient transitions into care.

Key Responsibilities

Intake & Referral Coordination

• Receive, process, and track incoming Home Health and Hospice referrals
• Verify patient demographics, insurance coverage, and payer criteria
• Communicate with hospitals, clinics, and community referral sources
• Ensure referral documentation is complete and accurate before admission
• Enter and maintain referral information in the EMR

Insurance Verification & Authorization

• Confirm benefits, eligibility, and coverage limits
• Obtain prior authorizations for services, visits, and DME
• Track authorization timelines and visit utilization
• Communicate authorization updates to clinical and scheduling teams

LPN Clinical Review & Face-to-Face Documentation

• Review referrals for clinical appropriateness and eligibility
• Identify missing or incomplete documentation and coordinate follow-up
• Perform F2F documentation review to ensure:
• Provider signature/date
• Required timeframes met
• Homebound status (HH) or terminal prognosis (Hospice) clearly supported
• Medical necessity is documented
• Coordinate with providers to correct non-compliant F2F notes
• Monitor outstanding F2Fs to avoid delays or billing risk

Care Coordination & Compliance

• Communicate admission readiness to clinical managers
• Coordinate start-of-care timing with field clinicians
• Support compliance with Medicare/Medicaid, accreditation standards, and HIPAA
• Participate in audits, quality reviews, and process improvement efforts

Requirements

Required

• Active LPN license (Montana)
• Minimum 2 years of clinical experience (Home Health, Hospice, hospital, or case management preferred)
• Experience with insurance verification or authorizations
• Knowledge of Medicare Home Health & Hospice eligibility
• Strong understanding of clinical documentation and medical terminology

Preferred

• Intake or authorization experience in Home Health or Hospice
• Familiarity with Face-to-Face documentation
• EMR experience (post-acute systems preferred)
• Knowledge of PDGM and Hospice Conditions of Participation

Skills & Competencies

• Strong attention to detail and regulatory accuracy
• Excellent communication and multitasking skills
• Ability to problem-solve documentation or eligibility barriers
• Effective prioritization in a fast-paced intake environment

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