Home Health Insurance Authorization Specialist

Home Health Insurance Authorization Specialist at Centerwell in Boise, Idaho, United States Job Description Become a part of our caring community This is a remote full time position scheduled for 8 hour shifts, 5 days a week Monday-Friday from 9am-5:30pm CST / 10am-6:30pm EST. As a Healthcare Insurance Authorization Specialist , you will report directly to the Authorization Supervisor and be responsible for: + Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. + Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition + Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate. + Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. + Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners + Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. + Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing + Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements. + Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents. + Alerts appropriate team members at the Site regarding late or missing documents required for billing. + Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams. + Maintain the confidentiality of patient/client and agency information. + Maintain accurate and up to date information for all vendor and nursing facility contracts. + Keep information in an orderly manner readily accessible for review. Presents status as requested. + Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures. + Participate in special projects and performs other duties as assigned. + Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary. + Act as an information resource for any hard revenue gener To view full details and how to apply, please login or create a Job Seeker account

Created: 2026-04-10