Insurance Authorization Coordinator

Pennant

Insurance Authorization Coordinator overseeing insurance authorizations for home health and hospice services. Ensuring compliance and managing denial issues with various insurance carriers.

Posted 6/26/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Oversee the timely and accurate submission and tracking of all initial insurance authorization requests for home health and hospice patients.
Work closely and effectively with the scheduling teams to coordinate start of care and ensure clinical services are only delivered after authorization is confirmed.
Direct the process for obtaining authorization following the 485 (Plan of Care) submission and managing all add-on insurance authorizations when required for changes in the patient's plan of care (e.g., increased visits, new services).
Establish and monitor the process for the team to re-verify eligibility on the 1st and 5th of each month for all active patients to proactively identify and resolve any changes in insurance status.
Serve as the escalation point for complex authorization denials or issues, communicating directly with various insurance carriers.
Ensure all authorization processes are compliant with payer contracts and regulatory standards.
Generate reports on authorization status, denial rates, and turnaround times.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

insurance verificationinsurance authorizationMedicare processesMedicaid processescommercial insurance processesauthorization documentationreport generationeligibility re-verificationauthorization tracking

Soft Skills

communicationcoordinationproblem-solvingescalation management