Authorization Coordinator (Home Care, Remote)
Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite awards. So whether you're looking for the buzz of a large city, the tranquility of nearby mountain bike trails or something in between, we encourage you to explore our organization.
Job Summary:
Manages authorizations of all activities requiring referrals for services provided. Serves as the key coordinator and liaison whose primary role is to expedite the collection process. Handles patient insurance management and outreach, with regards to deductibles and authorization to bill.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Essential Functions:
- Obtains home health and hospice authorizations and retroactive authorizations as needed.
- Communicates with providers, clinical staff and caregivers to obtain information required for authorization approval.
- Verifies eligibility of members, determines benefit coverage and communicates deductible to patient.
- Gathers clinical documentation needed from case management and other team members to obtain continued authorization.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.