Authorization Coordinator-Home Care

Mercy Medical Center, Baltimore, MD; Timonium (MD); On-site; USD 27,000 - 40,000; Full time

Benefits offered by this job

PTO & holidays

Tuition reimbursement

403(B) retirement plan with company =

Health, vision & dental benefits

Discounts on auto & home insurance and

Mental Health resources

Perks at Work

Job summary

Stella Maris, serving central Maryland, seeks an Authorization Coordinator for our Home Health team. This full-time role supports the department with insurance authorizations and administrative tasks, collaborating with clinicians to meet community needs.

The position requires prior authorization experience, strong communication, and solid computer skills. Schedule is Monday–Friday, 8:00 a.m.–4:30 p.m.

Qualifications

• High school diploma or equivalent is required.
• Prior experience in home health or insurance authorization is required.
• Excellent written and verbal communication skills.

Responsibilities

• Obtain and track authorizations for home care, including pre-authorization, extensions, and denial management.
• Coordinate follow-up with third parties to ensure authorizations are obtained and errors are corrected.
• Perform monthly insurance eligibility and benefits checks and inform patients and staff of changes in coverage and out-of-pocket expenses.
• Document benefit, authorization, and other billing information in the electronic health record.
• Maintain knowledge of payer authorization requirements and communicate with authorization representatives professionally.
• Obtain telephonic and online authorization of services daily and upload EHR data to insurer portals.
• Document requests for and receipt of authorization with dates for each discipline in the EHR; follow up with clinicians as needed.
• Manage the HBS CareFirst process including referrals, patient contact, start-of-care coordination, and portal updates.
• Answer incoming calls promptly and transfer as needed.
• Access information from multiple EHRs and portals as required.
• Follow HIPAA, compliance, privacy, and confidentiality standards.
• Assist with intake coordination for new patients.

Skills

Insurance authorization experience

Communication skills

Education

High school diploma or equivalent

Tools

Basic computer skills

Job description

Summary

Stella Maris is proud to provide central Maryland with compassionate, skilled home health care for adults. We specialize in home health care services that enable the patient to adapt and manage his or her medical situation in the comfort of their home.

Stella Maris is looking for an Authorization Coordinator to join their growing Home Health team. This is an exciting opportunity to work alongside dedicated clinicians to meet the needs of clients in the community we serve.

Authorization Coordinator

Home Health

Full-time, Monday - Friday 8a-430p

• This position requires prior experience in Insurance Authorization*

Check Out Some Of Our Benefits Offered

• Paid time off (PTO) & company paid holidays
• Tuition reimbursement
• 403(B) retirement plan with generous company match and “Catch Up” provision
• Competitive health, prescription, vision and dental benefits
• Discounts on auto & home insurance and Verizon plans
• Pet Wellness coverage, legal assistance and identity protection
• Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
• Perks at Work - savings on favorite brands, travel, tickets, dining and more!

Responsibilities

JOB SUMMARY:

The Authorization Coordinator is a vital position to the overall function of the home health department. They support the department with administrative support and knowledge of insurance authorizations.

Essential Functions

• Responsible for obtaining and tracking authorizations for home care. Includes pre-authorization, extension authorizations and authorization related appeals and denial management.
• Coordinates follow-up with third parties to ensure that authorizations are obtained and errors corrected.
• Completes monthly insurance eligibility and benefits checks. Responsible for notifying patients and staff of changes in coverage and out of pocket expenses.
• Documents benefit, authorization and other relevant billing information in the electronic health record.
• Maintains knowledge of the payer’s authorization requirements and communicates with the authorization representatives in a professional manner with the documentation needed to obtain authorization.
• Obtain telephonic and on-line authorization of services daily. Uploads information from the electronic health record into the insurance company portals to obtain authorization for the provision of care.
• Documents requests for and receipt of authorization with specific details related to the effective and end dates for each discipline in the electronic health record. Follows-up with clinicians on authorizations as needed.
• Manages all aspect of the HBS Carefirst Process including, but not limited to the referral process, contacting patients, coordinating start of care with scheduler, and sending updates through the HBS portal.
• Promptly answers incoming calls and appropriately transfers callers.
• Accesses and utilizes information from multiple electronic health records and portals as needed.
• Follows all HIPAA, compliance, privacy, and confidentiality standards.
• Assisting with intake coordiantion for new patients

Requirements

• High school diploma or equivalent
• Prior experience in home health required
• Demonstrated ability to work well with staff, residents and family members.
• Excellent written and verbal skills.
• Basic computer skills required.

Min

USD $19.40/Hr.

Max

USD $29.10/Hr.

Salary Information

Compensation decisions are made in alignment with internal equity, role scope, and market data to ensure fair and consistent pay practices. Most new hires are typically placed within the lower to mid-portion of the range; offers above that level are reserved for candidates with advanced or highly specialized qualifications.