Authorization Coordinator - Montrose

Appone; California (MO); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Health insurance

Paid time off

Vision insurance

Job summary

Alliance Home Health is seeking an Authorization Specialist to manage timely patient care authorizations with payers, providers, and patients. You'll work in a clinical office setting, supporting billing and clinical teams to ensure smooth approval and reimbursement processes.

The role requires experience with authorization requests, strong communication, confidentiality, and solid documentation skills. This is an in-person position with standard business hours and benefits.

Qualifications

• Experience with authorization requests in a medical setting.
• Ability to handle confidential information with discretion.
• Strong documentation and communication skills are required.

Responsibilities

• Obtain patient care authorizations (initial, reauthorization, follow-up).
• Verify insurance eligibility and contact patients/departments as needed.
• Assist billing with issues due to insurance authorization denials.
• Collaborate with clinical teams and referral sources on authorization needs.
• Maintain tracking reports for outstanding authorizations and timely processing.
• Collect and document patient and payer demographics and financial information.
• Follow guidelines for patient and payer interactions and negotiate reimbursements.
• Perform other duties as assigned.

Skills

Prioritization

Multi-tasking

Authorization experience

Medical office experience

Communication skills

Confidential information handling

Problem solving

Documentation

Reading/writing instructions

Team relationships

Computer literacy

Interpersonal skills

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Alliance Home Health

Alliance Home Health is dedicated to providing innovative, quality, and cost-effective home health services to patients in their homes involving families that require skilled nursing, rehabilitative, and support services.

Job Description

The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Responsibilities

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
• Verify insurance eligibility; contact patients and departments with any negative outcomes
• Assist billing with claims issues due to insurance authorization denials
• Work closely with the clinical teams and referral sources regarding current and future authorization needs
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
• Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
• Follow approved guidelines and policies regarding routine patient and payer interactions
• Negotiate payment reimbursement from a patient and third‑party payers
• Other duties as assigned

Skills and Qualifications

• Ability to prioritize
• Ability to multi‑task
• Previous experience working with authorization requests, required
• Previous experience working in in a medical office setting, or equivalent experience
• Good communication and interpersonal/team skills
• Must have a high regard for confidential information
• Ability to find solutions when barriers are identified
• Strong documentation skills
• Ability to read, understand and follow oral and written instructions
• Demonstrates a willingness and ability to work under supervision
• Ability to develop and maintain good working relationships with staff
• Ability to use computer and learn new software programs
• Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management

Schedule:

• Monday-Friday, 9:00am-5:30pm
• Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Pay:From $21.00 per hour

This position is currently accepting applications.