Authorization Specialist

Authorization Specialist

Location: Seaport Scripps Home Health – Remote Pay Range: $21.00 – $25.00 per hour Schedule: Full-time, 5 days/week (8:30 AM – 5:00 PM PST) with weekend rotation or staggered schedule including one fixed weekend day

Job Summary

The Authorization Specialist plays a key role in ensuring smooth operations by verifying insurance eligibility, obtaining authorizations, and managing related clerical tasks. This position supports intake processes, maintains accurate clinical records, and fosters positive relationships with providers and referral sources.

Key Responsibilities

• Verify insurance eligibility and confirm payer sources for all referrals
• Manage the authorization process, including monitoring calls and requests from providers
• Obtain and provide clinical information needed for authorizations
• Communicate authorization status to field and scheduling staff
• Provide backup support to Intake and Scheduling Coordinators
• Protect patient and organizational confidentiality
• Maintain knowledge of state, federal, and CHAP documentation regulations

Qualifications

• Minimum 1 year of experience in insurance eligibility and authorizations (home health experience preferred)
• Knowledge of information systems and corporate business management
• Familiarity with governmental regulations
• Strong communication and public relations skills
• Ability to work independently with organization, flexibility, and cooperation