Remote Insurance Prior Authorization Specialist Home Health

Pennant Group; Oregon; Hybrid; USD 32,000 - 39,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vis

Free health concierge services

FSA and HSA accounts

Paid life and AD&D insurance

Paid sick, holidays, PTO

Job summary

Alpha Home Health & Hospice is hiring an Insurance Prior Authorization Specialist for on-site work in Mount Vernon, WA or remote work within PST/MST zones. The role requires 1+ year in insurance authorization in home health or hospice, and familiarity with Home Care Home Base (HCHB).

You will verify coverage, obtain authorizations, enter data in patient records, and support coordination with clinical and office staff. Competitive benefits and room for growth are offered.

Qualifications

• At least 1 year of insurance authorization/billing in home health/hospice.
• Experience with Home Care Home Base is required.
• Remote work considered only if in PST or MST time zones.

Responsibilities

• Verify insurance coverage for primary and secondary payors.
• Use UGS/DDE and EDS to verify Medicare/Medicaid eligibility.
• Obtain visit authorization and provide medical records as needed.
• Enter data accurately in patient records in HCHB.
• Maintain payor files and assist with appeals for denials.

Skills

Insurance authorization experience

Home health hospice

Customer service

Multi-tasking

Verbal and written communication

Tools

Home Care Home Base

Job description

Alpha Home Health & Hospice is hiring an Insurance Prior Authorization Specialist for on-site work in Mount Vernon, WA or remote work within PST/MST zones. The role requires 1+ year in insurance authorization in home health or hospice, and familiarity with Home Care Home Base (HCHB).

You will verify coverage, obtain authorizations, enter data in patient records, and support coordination with clinical and office staff. Competitive benefits and room for growth are offered.