Prior Authorizations Specialist

Home Health & Hospice Prior Authorization Specialist $25-$30/hour | Full-Time | Remote Put Your Insurance Prior Authorization Expertise to Work From Home Puget Sound Home Health & Hospice is seeking an experienced Insurance Prior Authorization Specialist to help ensure patients receive the care they need without unnecessary delays. Compensation & Benefits $25-$26/hour, DOE | Full-Time | Remote | Working PST Health: Medical, dental & vision, health concierge, HSA/FSA Time Off: Paid holidays, sick time & PTO Financial: 401(k) match, company-paid life & AD&D Extras: Disability & voluntary insurance options Growth: Professional development & advancement opportunities What You'll Bring 2 years of Home Health and/or Hospice agency prior authorization or billing experience Homecare Homebase (HCHB) experience required Strong attention to detail and ability to manage multiple priorities Excellent written and verbal communication skills Strong customer service and collaborative problem-solving skills Ability to stay organized and work independently in a remote environment What You'll Do Verify primary and secondary insurance coverage and patient eligibility Obtain visit authorizations from payers and submit required clinical documentation Verify Medicare and Medicaid eligibility using UGS/DDE and EDS Enter and maintain accurate authorization and patient information in Homecare Homebase (HCHB) Track authorized and unauthorized visits and follow up as needed Maintain current payer requirements and initiate appeals for denied authorizations Prepare patient copay estimates and communicate authorized visits to scheduling Collaborate with clinical, contracting, scheduling, and office teams to resolve authorization issues Assist patients, referral sources, and community partners with payer authorization and coverage questions The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at Puget Sound Home Health