Home Health Payer Authorization Specialist

Medical Services of America, Inc.; West Jefferson (NC); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Generous paid time off

Medical/Prescription, Dental & Vision

Company paid employee life insurance

401(k) retirement with company match

Opportunities for advancement

Job summary

Medical Services of America, Inc. is seeking an experienced Location Authorization Specialist for our Home Health team in West Jefferson, NC. The role focuses on payer verification and obtaining authorizations for Medicare, Medicaid, and commercial payers.

The candidate will verify payer coverage, manage authorization requests, and run daily expiration reports while supporting the billing team with denial research. Strong knowledge of billing regulations and EMR systems is essential.

Qualifications

• High School Diploma or GED required.
• 1-2 years of customer service/medical billing/collections experience required. Home health experience preferred.
• Thorough knowledge of Medicare, Medicaid, and commercial billing regulations.
• Experience with electronic medical billing.

Responsibilities

• Verifies insurance for all patient payers.
• Contacts insurance companies and obtains authorization for home health services for payers requiring authorization.
• Runs the authorization expiration report daily.
• Assist the billing department with researching denials.

Skills

Customer service

Medical billing

Collections experience

Medicare knowledge

Medicaid knowledge

Commercial billing regulations

Electronic medical billing

Education

High School Diploma or GED

Tools

EMR/EHR systems

Job description

Medical Services of America, Inc. is seeking an experienced Location Authorization Specialist for our Home Health team in West Jefferson, NC. The role focuses on payer verification and obtaining authorizations for Medicare, Medicaid, and commercial payers.

The candidate will verify payer coverage, manage authorization requests, and run daily expiration reports while supporting the billing team with denial research. Strong knowledge of billing regulations and EMR systems is essential.