Insurance Authorization Lead – Home Health & Hospice

Pennant Group; Nashville (TN); On-site; USD 52,000 - 72,000; Full time

Job summary

Pennant Group is seeking an Insurance Authorization Coordinator to join our Home Health and Hospice authorization team in Nashville. You will oversee initial authorizations, eligibility checks, and add-ons to ensure timely services and accurate billing.

You will collaborate with scheduling and clinical teams, navigate payer portals, and maintain compliance with Medicare, Medicaid, and commercial payers. This role requires meticulous attention to detail and strong problem-solving under

Qualifications

• 3+ years in insurance verification and authorization within Home Health or Hospice.
• Knowledge of Medicare, Medicaid, and commercial authorization processes.
• Proficiency with EMR and authorization tracking software.

Responsibilities

• Oversee timely submission and tracking of initial insurance authorizations for home health and hospice patients.
• Collaborate with scheduling teams to coordinate start of care after authorization.
• Direct 485 submission and add-on authorization processes when required.
• Establish and monitor monthly eligibility re-verification for all active patients.
• Serve as escalation point for complex denials and payer issues.
• Ensure compliance and generate reports on status, denials, and turnaround times.

Skills

Analytical skills

Organizational skills

Payer portal navigation

Interpersonal skills

Team leadership

Regulatory compliance

Education

Healthcare/Business degree

Tools

EMR systems

Authorization software

Job description

Pennant Group is seeking an Insurance Authorization Coordinator to join our Home Health and Hospice authorization team in Nashville. You will oversee initial authorizations, eligibility checks, and add-ons to ensure timely services and accurate billing.

You will collaborate with scheduling and clinical teams, navigate payer portals, and maintain compliance with Medicare, Medicaid, and commercial payers. This role requires meticulous attention to detail and strong problem-solving under