Prior Authorization Specialist – Home Health & Hospice

Pennant Group; Everett (WA); Hybrid; USD 32,000 - 39,000; Full time

Benefits offered by this job

Comprehensive Medical, Dental, Vision

Free health concierge services

FSA and HSA accounts

Paid Life and AD&D insurance

Paid Sick, Holidays, PTO

STD, LTD, and voluntary plans

Room for advancement

Supportive and inclusive team culture

Professional growth opportunities

Company-wide celebrations

Job summary

Alpha Home Health & Hospice is hiring an Insurance Prior Authorization Specialist to support our Mount Vernon, WA office or remote in PST/MST time zones. The role offers competitive hourly pay and comprehensive benefits.

On-site and remote options provide flexibility for a fast-paced, collaborative team focused on high-quality patient care. Responsibilities include verifying coverage, obtaining authorizations, data entry in HCHB, and coordinating with staff to ensure timely visits.

Qualifications

• Must have at least 1 year of insurance authorization/billing experience in home health/hospice.
• Experience with Home Care Home Base is required.

Responsibilities

• Verify insurance coverage for patients and payors.
• Obtain visit authorizations by providing necessary medical records.
• Perform accurate data entry in patient records within HCHB.
• Maintain payor files with updated requirements for denials/appeals.
• Interface with contract, clinical, and office staff to ensure smooth workflow.
• Prepare patient co-pay estimates and notify scheduling of approved visits.
• Provide excellent customer service to patients, referral sources, and community contacts.

Skills

Insurance authorization experience

Tools

Home Care Home Base

Job description

Alpha Home Health & Hospice is hiring an Insurance Prior Authorization Specialist to support our Mount Vernon, WA office or remote in PST/MST time zones. The role offers competitive hourly pay and comprehensive benefits.

On-site and remote options provide flexibility for a fast-paced, collaborative team focused on high-quality patient care. Responsibilities include verifying coverage, obtaining authorizations, data entry in HCHB, and coordinating with staff to ensure timely visits.