HPSC-Home Health Intake & Authorization Coordinator

High-Plains-Senior-Care; Longview (TX); On-site; USD 42,000 - 52,000; Full time

Job summary

High Plains Senior Care is seeking a Home Health Intake & Authorization Coordinator in Longview, TX, to manage referral intake, verify insurance eligibility, and obtain prior authorizations. You will coordinate with physicians, payers, and clinical staff to ensure timely admissions and compliant documentation.

The role requires familiarity with Medicare, payer requirements, and an EMR system, plus strong organization and communication skills.

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.

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 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.

Skills

Organizational skills

Multitasking

Communication skills

Problem-solving

Independence

Team collaboration

Microsoft Office proficiency

Education

High school diploma or GED

Tools

Homecare Homebase

Job description

Position:HPSC-Home Health Intake & Authorization Coordinator

Location: Longview, TX

Job Id:3627

# of Openings:1

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