Home Health Authorization Specialist

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

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.