Medical Authorization Specialist (English)

Technical Support Team; Chile; On-site; CLP 16,740,000 - 23,436,000; Full time

Job summary

Technical Support Team is seeking an experienced Authorization & Billing Specialist to support a home care agency. This role manages insurance authorizations, assists with pre-billing and payroll-related inquiries from field staff, and ensures compliance across billing processes.

The ideal candidate has experience with insurance authorizations and medical billing, strong organizational skills, and the ability to handle multiple priorities while communicating effectively with insurers and care

Qualifications

• Experience with insurance authorizations, medical billing, or home care operations is a big plus.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and follow up consistently on pending cases.

Responsibilities

• Manage new, renewed, and updated home care authorizations and maintain records in HHAeXchange.
• Follow up with insurance companies and MLTCs regarding pending, missing, incorrect, or denied authorizations.
• Monitor authorization expirations and request continuation of care as needed.
• Review pre-billing issues and help resolve authorization, service-hour, and EVV-related discrepancies.
• Support POC and EVV compliance and communicate with Home Health Aides when corrections are needed.
• Respond to payroll-related inquiries, including pay, PTO, rates, paystubs, W-2s, and W-4s.
• Maintain accurate documentation and coordinate with internal departments regarding authorization, billing, and payroll matters.

Skills

Insurance authorizations

Medical billing

Home care operations

Attention to detail

Organizational skills

Multitasking

Communication with insurers

Microsoft Office

Google Workspace

Viventium

English

Spanish

Russian

Tools

Microsoft Office

Google Workspace

Viventium

Job description

We are seeking an experienced and detail-oriented Authorization & Billing Specialist to support a home care agency. This role is responsible for managing insurance authorizations, supporting pre-billing and compliance processes, and assisting with payroll-related inquiries from field staff.

The ideal candidate has experience working with insurance companies, understands home care authorization processes, and is comfortable managing follow-ups and resolving discrepancies.

Key Responsibilities

• Manage new, renewed, and updated home care authorizations and maintain accurate records in HHAeXchange.
• Follow up with insurance companies and MLTCs regarding pending, missing, incorrect, or denied authorizations.
• Monitor authorization expirations and request continuation of care as needed.
• Review pre-billing issues and help resolve authorization, service-hour, and EVV-related discrepancies.
• Support POC and EVV compliance and communicate with Home Health Aides when corrections are needed.
• Respond to payroll-related inquiries, including pay, PTO, rates, paystubs, W-2s, and W-4s.
• Maintain accurate documentation and coordinate with internal departments regarding authorization, billing, and payroll matters.

Qualifications

• experience with insurance authorizations, medical billing, or home care operations is a big plus.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and follow up consistently on pending cases.
• Comfortable making and receiving frequent calls with insurance companies and field staff.
• Working knowledge of Microsoft Office and Google Workspace.
• Experience with Viventium is a plus.
• English required; Spanish strongly preferred. Russian is a plus.

Schedule:

Monday–Friday from 9am to 5pm (according to NY time)