Revenue Cycle Authorization Specialist

The Revenue Cycle Authorization Specialist is responsible for verifying insurance eligibility, submitting authorizations, and ensuring timely processing of patient coverage for Medicare, Medicaid, and commercial payers in a healthcare setting, supporting Home Health and Hospice services.

Location: Remote (US)

Responsibilities

• Verify patient eligibility and benefits for Home Health and Hospice services.
• Work assigned work queues to ensure all benefit-related tasks are completed in a timely manner.
• Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
• Submit initial and follow-up authorization requests, ensuring all required documentation is included.
• Review medical records for supporting documents needed for approvals.
• Communicate with field staff, branches, and facilities to obtain any missing information.
• Accurately document all verification and authorization steps in patients’ medical records.
• Collaborate with other departments and attend team meetings to share updates and resolve issues.
• Adhere to HIPAA regulations and maintain the confidentiality of all patient and organizational information.

Requirements

• Bachelor’s degree preferred.
• At least 3 years of experience in Home Care or Hospice strongly preferred.
• Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
• Proficient in Excel; working knowledge of PowerPoint and other Microsoft Office tools.
• Experience entering and managing data within electronic systems.
• Familiarity with HomeCare HomeBase software is a plus.
• Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment.
• Excellent communication and collaboration skills.

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)