Home Health Insurance Authorization Specialist

Position Summary

The Insurance Verification & Authorization Coordinator is responsible for ensuring accurate patient insurance verification, authorization processing, and maintenance of coverage documentation. This position plays a key role in supporting agency operations by maintaining accurate records, communicating with insurance providers, and assisting with administrative functions to ensure timely patient care services.

Essential Responsibilities

• Ensure accurate entry, access, and retrieval of patient and insurance information within company databases and systems.
• Verify patient insurance benefits and eligibility coverage.
• Obtain and pre-certify initial insurance authorizations for services.
• Monitor authorization expiration dates and follow up to maintain required re-certification and continued coverage approvals.
• Document and update patient authorization and coverage information accurately and timely.
• Communicate professionally with insurance company representatives regarding eligibility, authorization status, and coverage questions.
• Assist with administrative duties including billing support, payroll assistance, filing, and other office procedures as needed.
• Support special projects and additional duties assigned by leadership.
• Promote the agency’s mission and philosophy by maintaining a professional, positive, and customer-focused attitude with patients, families, physicians, referral sources, and community agencies

Qualifications

• High school diploma or equivalent required.
• Minimum of one (1) year of experience in insurance verification, authorizations, or related healthcare insurance experience preferred.
• Excellent phone communication, computer, interpersonal, and organizational skills required.
• Knowledge of medical terminology preferred.
• Ability to establish and maintain professional relationships with insurance company representatives and internal team members.
• Strong attention to detail and ability to manage multiple tasks in a fast-paced environment.

Location Requirement
This position requires working onsite at the Plano office. Remote work is not available for this role.

• You want to be a part of a company with a strong future
• You want to be a part of the solution in caring for seniors that need quality people in their corner
• You want to be on an amazing team with a positive and award-winning company culture
• You want to work alongside kind people that seek to do the right thing and put patients first
• You want to live out your calling and are more than happy to help
• You want to give back to the local community by participating in service projects
• You are eager to discover what sets Reliant at Home’s Bluebird Nation apart