Insurance Authorization Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 $108.5M Post-IPO Equity - The Pennant Group on 2024-10

Consulting • Logistics • Healthcare

Pennant is a healthcare organization dedicated to providing exceptional care through a strong focus on leadership development within its network of affiliates. They offer a comprehensive range of services including home health, hospice, assisted living, and senior living, all tailored to meet the unique needs of individuals and families. With a commitment to empowering local leaders and enhancing lives with clinical excellence, Pennant strives to deliver Life-Changing Service in every community they serve.

📋 Description

• Oversee timely and accurate submission and tracking of initial insurance authorization requests for home health and hospice patients • Work with scheduling teams to coordinate start of care and ensure clinical services are delivered only after authorization is confirmed • Direct authorization following 485 Plan of Care submission • Manage add-on insurance authorizations for changes in the patient's plan of care, such as increased visits or new services • Establish and monitor re-verification of eligibility on the 1st and 5th of each month for all active patients • Identify and resolve changes in insurance status proactively • Serve as escalation point for complex authorization denials or issues and communicate directly with insurance carriers • Ensure authorization processes comply with payer contracts and regulatory standards • Generate reports on authorization status, denial rates, and turnaround times • Lead a critical insurance authorization function supporting uninterrupted patient care and financial health

🎯 Requirements

• Minimum of 3 years of dedicated experience in insurance verification and authorization, specifically within Home Health or Hospice • Expert knowledge of Medicare, Medicaid, and commercial insurance authorization processes and documentation requirements for episodic and per diem payments • Proficiency in using electronic medical record (EMR) systems and authorization tracking software • Superior analytical and organizational skills with strong attention to detail • Exceptional ability to navigate complex payer portals and communication channels • Excellent interpersonal skills for effective collaboration with clinical and scheduling staff • Proven ability to lead a team in a high-volume, deadline-driven environment • Strong commitment to regulatory compliance and ethical billing practices • Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field is preferred • Experience with utilization review and appeals processes is preferred