Prior Authorizations Specialist

Home Health & Hospice Prior Authorization Specialist

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.

$25–$30/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

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

• 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