Home Health Eligibility & Insurance Verification Specialist

Job Description

Job Description

Job Description

All Care Home Health is seeking a detail-oriented Eligibility & Insurance Verification Specialist to join our growing team. This role is critical in ensuring accurate verification of patient eligibility, insurance coverage, and authorizations prior to the start of care. The ideal candidate has experience working with home health insurance plans and understands the importance of compliance and timely coordination.

Key Responsibilities:

• Verify patient insurance eligibility and benefits for home health services.
• Obtain and track authorizations from health plans (Kaiser, Medicare, Medi-Cal, HMO/PPO, Optum, etc.)
• Confirm coverage details including co-pays, visit limits, and authorization requirements.
• Communicate with insurance representatives, referral sources, and internal staff.
• Maintain accurate documentation in the patient record and tracking systems.
• Follow up on pending authorizations and eligibility issues promptly.
• Ensure compliance with CMS, payer, and agency guidelines.
• Support intake, clinical, and billing teams as needed.

Qualifications:

• Minimum 1–2 years experience in home health eligibility, intake, or insurance verification.
• Knowledge of Medicare, Medi-Cal, HMO/PPO, and managed care plans.
• Familiarity with home health authorization processes.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication skills.
• Ability to multitask and meet deadlines in a fast-paced environment.
• Experience with home health EMR systems preferred.

Benefits:

• Competitive pay (based on experience).
• Full benefits package (medical, dental, vision).
• Paid time off and holidays.
• Stable, supportive work environment.
• Long-standing agency with over 30 years in home health services.

How to Apply:

Apply directly through Indeed Quick Apply or contact our office for more information.

Office Location: Glendale, CA