HPSC-Home Health Intake & Authorization Coordinator

Frontpoint Health; Longview (TX); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Health, Dental and Vision Insurance

Teladoc

Paid Time off

401(k)

Short and Long Term Disability

Job summary

Frontpoint Health in Longview, TX, seeks a Full Time Home Health Intake & Authorization Coordinator to manage referral intake, obtain authorizations, verify eligibility, and coordinate start of care. You will act as a liaison among referral sources, physicians, insurers, clinicians, and patients to ensure compliant admissions.

The role requires strong organizational and communication skills, experience with home health intake, and familiarity with Medicare processes.

Qualifications

• High school diploma or GED required.
• Minimum of 2 years of home health intake, insurance authorization, or medical office experience preferred.
• Knowledge of Medicare, Medicare Advantage, other payers, and prior authorization requirements.
• Experience with Homecare Homebase.

Responsibilities

• Receive, review, and process incoming home health referrals.
• Verify insurance eligibility and benefits for all new referrals.
• Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers.
• Coordinate with physicians to obtain face-to-face documentation and any additional required paperwork.
• Maintain accurate documentation and comply with HIPAA and agency policies.
• Assist with census growth by facilitating timely admissions.

Skills

Organizational skills

Multitasking

Communication skills

Problem-solving

Team collaboration

Education

High school diploma or GED

Tools

Homecare Homebase

Job description

Job Title: Full Time - Home Health Intake & Authorization Coordinator

Location: Longview, TX, 75601

Agency: High Plains Senior Care

Job Title: Home Health Intake & Authorization Coordinator

Position Summary

The Home Health Intake & Authorization Coordinator is responsible for managing the referral intake process, obtaining insurance authorizations, verifying patient eligibility, and coordinating the start of care. This position serves as a liaison between referral sources, physicians, insurance companies, clinical staff, and patients to ensure timely, accurate, and compliant admissions.

Essential Duties And Responsibilities

• Receive, review, and process incoming home health referrals.
• Verify insurance eligibility and benefits for all new referrals.
• Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers.
• Coordinate with physicians to obtain face-to-face documentation, and any additional required paperwork.
• Ensure referrals meet Medicare and payer-specific coverage criteria.
• Enter patient demographics, insurance information, physician orders, and referral documentation into the electronic medical record (EMR).
• Maintain communication with referral sources regarding referral status.
• Track authorization expiration dates and request extensions or additional visits as needed.
• Resolve insurance authorization issues that may delay patient admission or continuation of services.
• Maintain accurate documentation and comply with HIPPA, Medical Conditions of Participation, and agency policies.
• Assist with census growth by facilitating timely admissions.
• Participate in quality improvement initiatives and workflow optimization.
• Perform other duties as assigned.

Qualifications

• High school diploma or GED required.
• Minimum of 2 years of home health intake, insurance authorization, or medical office experience preferred.
• Knowledge of Medicare, Medicare Advantage, other payers, and prior authorization requirements.
• Experience with Homecare Homebase.
• Strong understanding of home health eligibility requirements and physician documentation.
• Excellent organizational, multitasking, and problem-solving skills.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and computer applications.
• Ability to work independently and as part of a multi-disciplinary team.

Knowledge, Skills And Abilities

• Excellent attention to detail.
• Ability to prioritize multiple referrals in a fast-paced environment.
• Strong customer service skills when interacting with patients, families, referral sources, and physicians.
• Ability to maintain confidentiality and professionalism.
• Knowledge of medical terminology and insurance billing processes.

Physical Requirements

• Prolonged periods of sitting and computer work.
• Ability to communicate effectively by telephone and in person.
• Ability to occasionally lift up to 20 pounds.

Work Environment

• Office-Based position in a home health agency.
• Frequent interaction with referral sources, physicians' offices, insurance representatives, and clinical staff.

Benefits

• Health, Dental and Vision Insurance
• Teladoc
• Paid Time off
• 401(k)
• Short and Long Term Disability