Home Health Coverage & Authorization Specialist

Parx Home Health Care; Tampa (FL); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Dental insurance

Vision insurance

3 Weeks PTO + Holidays

401K

Job summary

Parx Home Health Care is seeking an Eligibility & Authorization Specialist to verify insurance benefits and secure accurate authorizations for home health services. The role collaborates with Intake, Revenue Cycle, agency staff, and payers to ensure financial clearance and ongoing authorization maintenance throughout care episodes.

The ideal candidate will be highly organized, detail-oriented, proficient with payer portals, and able to manage high patient volumes while meeting deadlines.

Qualifications

• Verify insurance eligibility and benefits for home health patients.
• Confirm coverage for home health services, including disciplines and patient financial responsibilities.
• Obtain initial and ongoing authorizations for skilled services.
• Submit authorization requests through payer portals, fax, or other required methods.
• Maintain accurate authorization data in the EMR.
• Communicate approvals, denials, and requirements to relevant teams.
• Maintain HIPAA compliance and confidentiality.

Responsibilities

• Verify insurance eligibility and benefits for new and existing home health patients.
• Obtain initial and ongoing authorizations for services.
• Submit authorization requests through payer portals, fax, or other methods.
• Track authorization status and follow up with payers.
• Maintain authorization data in the EMR.
• Identify authorization-related billing issues early.
• Document payer communications timely.
• Research authorization issues and payer barriers.

Skills

Insurance verification

Payer portals

EMR documentation

Tools

EMR system

Job description

Parx Home Health Care is seeking an Eligibility & Authorization Specialist to verify insurance benefits and secure accurate authorizations for home health services. The role collaborates with Intake, Revenue Cycle, agency staff, and payers to ensure financial clearance and ongoing authorization maintenance throughout care episodes.

The ideal candidate will be highly organized, detail-oriented, proficient with payer portals, and able to manage high patient volumes while meeting deadlines.