Insurance Authorization Coordinator

Insurance Authorization Coordinator- Home Health and Hospice Join

Pennant’s

dynamic insurance authorization team as the

Insurance Authorization Coordinator ! We are looking for an exceptional team player to orchestrate the crucial function of securing timely and accurate insurance authorizations for our patients. Your expertise will be key to ensuring uninterrupted care and optimizing our financial health. About the Role You will be responsible for all aspects of payer authorization. This role demands deep knowledge of payer requirements, strong ownership skills, and meticulous attention to detail to ensure every patient's services are appropriately covered from admission through discharge. Key Responsibilities Initial Authorization:

Oversee the timely and accurate submission and tracking of all

initial insurance authorization

requests for home health and hospice patients.

Collaboration and Communication:

Work closely and effectively with the

scheduling teams

to coordinate start of care and ensure clinical services are only delivered after authorization is confirmed.

485 and Add-On Authorization:

Direct the process for obtaining authorization following the

485 (Plan of Care)

submission and managing all

add-on insurance

authorizations when required for changes in the patient's plan of care (e.g., increased visits, new services).

Ongoing Eligibility Management:

Establish and monitor the process for the team to

re-verify eligibility on the 1st and 5th of each month

for all active patients to proactively identify and resolve any changes in insurance status.

Payer Relations:

Serve as the escalation point for complex authorization denials or issues, communicating directly with various insurance carriers.

Compliance and Reporting:

Ensure all authorization processes are compliant with payer contracts and regulatory standards. Generate reports on authorization status, denial rates, and turnaround times.

Qualifications Required: Minimum of 3 years of dedicated experience in

insurance verification and authorization , specifically within

Home Health or Hospice .

Expert knowledge of

Medicare, Medicaid, and commercial insurance authorization processes

and documentation requirements for episodic and per diem payments.

Proficiency in using electronic medical record (EMR) systems and authorization tracking software.

Preferred: Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field.

Experience with utilization review and appeals processes.

Skills and Competencies Superior analytical and organizational skills

with an unwavering attention to detail.

Exceptional ability to navigate complex payer portals and communication channels.

Excellent interpersonal skills for effective collaboration with clinical and scheduling staff.

Proven ability to lead a team in a high-volume, deadline-driven environment.

Strong commitment to regulatory compliance and ethical billing practices.

If you are a results-oriented authorization expert ready to lead a critical function that ensures our patients receive the care they need, apply today! 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