Revenue Cycle Authorization Specialist

Gentiva; Mooresville, Northern (NC, KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k) with Company Match

Career Advancement Opportunities

Paid Holidays

Job summary

Ideal candidates have 3+ years in Home Care or Hospice, proficiency in Excel, and experience with patient data in electronic systems. This full-time role based in North Carolina offers benefits and collaborative teamwork.

Qualifications

• Bachelor’s degree preferred.
• 3+ years in Home Care or Hospice strongly preferred.
• Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
• Proficient in Excel; working knowledge of PowerPoint and other Microsoft Office tools.
• Experience entering and managing data within electronic systems.

Responsibilities

• Verify eligibility and benefits for Home Health and Hospice services.
• Work queues to complete benefit-related tasks on time.
• Contact insurers to confirm hospice coverage, authorizations, and recertifications.
• Submit initial and follow-up authorization requests with required documentation.
• Review medical records for supporting documents for approvals.
• Document all steps in patients’ records and coordinate with field staff.
• Collaborate with departments and attend team meetings to resolve issues.
• Adhere to HIPAA and keep patient/organizational information confidential.

Skills

Payer processes

Excel

Data entry

Attention to detail

Communication

Education

Bachelor’s degree

Tools

HomeCare HomeBase

Job description

Overview

Ensure Access. Support Care. Strengthen Outcomes.

We are hiring a Revenue Cycle Authorization Specialist who will be responsible for verifying insurance eligibility, submitting authorizations, and ensuring timely and accurate processing of patient coverage across Medicare, Medicaid, and commercial payers. This role is essential in maintaining access to care and supporting the operations of our Home Health and Hospice services.

If you’re detail-oriented, familiar with payer systems, and passionate about healthcare access, this is an opportunity to make a meaningful impact.

Key Responsibilities:

• Verify patient eligibility and benefits for Home Health and Hospice services.
• Work assigned work queues to ensure all benefit-related tasks are completed in a timely manner.
• Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
• Submit initial and follow-up authorization requests, ensuring all required documentation is included.
• Review medical records for supporting documents needed for approvals.
• Communicate with field staff, branches, and facilities to obtain any missing information.
• Accurately document all verification and authorization steps in patients’ medical records.
• Collaborate with other departments and attend team meetings to share updates and resolve issues.
• Adhere to HIPAA regulations and maintain the confidentiality of all patient and organizational information.

About You

Requirements:

• Bachelor’s degree preferred.
• At least 3 years of experience in Home Care or Hospice strongly preferred.
• Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
• Proficient in Excel; working knowledge of PowerPoint and other Microsoft Office tools.
• Experience entering and managing data within electronic systems.
• Familiarity with HomeCare HomeBase software is a plus.
• Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment.
• Excellent communication and collaboration skills.

  We Offer

  Benefits for All Associates (Full-Time, Part-Time & Per Diem):

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

  Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

  Legalese

  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace

  Position Type: Full-Time

  Company: Gentiva Hospice