Authorization Monitoring and Tracking Specialist

Allcare Home Health; Glendale (CA); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

Paid time off (PTO)

Opportunities for growth

Holidays

Growth opportunities

Team oriented environment

Job summary

A healthcare provider is seeking an Authorization Monitoring and Tracking Specialist to manage payer authorization processes and ensure timely patient care. The role involves coordinating with clinical teams and monitoring payer portals for approvals and denials. Ideal candidates will have experience in Home Health, strong communication skills, and excellent attention to detail. Benefits include competitive pay, health insurance, and opportunities for growth within the agency.

Qualifications

• Experience in Home Health or Hospice setting (required).
• Strong knowledge of payer portals (Kaiser, Carelon).
• Ability to manage multiple authorizations and deadlines.
• Proficiency with Excel, EMR/Back Office systems, and email communication.
• Strong verbal and written communication.
• Ability to manage multiple authorizations and deadlines in a fast-paced environment.

Responsibilities

• Manage payer authorization processes to ensure timely approval.
• Log new referrals and monitor payer portals for responses.
• Notify care coordinators on authorization approvals/denials.
• Enter approvals into the EMR; attach letters; ensure billing/scheduling visibility.
• Flag expiring authorizations 7–10 days out; compile weekly summary.
• Escalate after 5 business days without response or for repeated denials.
• Maintain organized, audit-ready records (letters, emails, date-stamped trackers).

Skills

Attention to detail

Organizational skills

Communication skills

Proficiency with Excel

Experience in Home Health

EMR/Back Office

Email

Communication skills

Multi-tasking

Tools

EMR/Back Office systems

EMR/Back Office

Job description

Position Summary:

The Authorization Monitoring and Tracking Specialist is responsible for managing and overseeing all payer authorization processes to ensure timely approval and continuity of patient care. This position plays a vital role in coordinating with care coordinators, payers, and clinical teams to track, follow up, and record all initial and additional authorizations accurately and efficiently.

Key Responsibilities

• Review new referrals & additional visit requests daily, log into the Authorization Tracker.
• Monitor payer portals (e.g., Kaiser, Carelon, other insurance); follow up if no response in 48 hours.
• Notify care coordinators on approvals/denials with authorization, dates, visit counts, and conditions.
• Enter approvals into the back-office/EMR; attach letters/screenshots; ensure billing/scheduling visibility.
• Flag expiring authorizations (7–10 days out); compile weekly summary for DPCS.
• Escalate after 5 business days without response or for repeated denials/urgent cases.
• Maintain organized, audit-ready records (letters, emails, date-stamped trackers).

Qualifications

• Experience in Home Health or Hospice setting (required).
• Strong knowledge of payer portals (Kaiser, Carelon, and other insurance).
• Excellent attention to detail and organizational skills.
• Proficiency with Excel, EMR/Back Office systems, and email communication.
• Strong communication skills (verbal and written).
• Ability to manage multiple authorizations and deadlines in a fast-paced environment.

Preferred

• Prior experience as an Authorization Coordinator, Intake Coordinator, or Care Coordination Assistant in home health or healthcare setting.
• Familiarity with CMS and payer authorization guidelines.

Benefits

• Competitive pay.
• Health, dental, and vision insurance.
• Paid time off (PTO), paid sick days and holidays.
• Opportunities for growth within the agency.
• Supportive and team-oriented work environment.

To Apply

Send your resume and cover letter to this posting with the subject line:

“Authorization Monitoring and Tracking Specialist – [Your Name]”