Insurance Authorization Coordinator

Pennant

. Oversee timely and accurate submission and tracking of initial insurance authorization requests for home health and hospice patients .

Posted 10/16/2026full-timeRemote • Idaho • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance verification and authorization processes, particularly within Home Health and Hospice, while ensuring compliance with regulatory standards and payer contracts. Proficient in managing complex authorization issues and leading teams in a fast-paced environment.

Highest-signal resume keywords

Insurance Verification And AuthorizationMedicare And Medicaid KnowledgeElectronic Medical Record (EMR) SystemsAnalytical And Organizational SkillsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Authorization ProcessesAuthorization Tracking SoftwareUtilization ReviewAppeals ProcessesPlan Of Care Submission

Soft Skills

Interpersonal SkillsAttention To DetailCollaborationLeadershipProblem-Solving

Certifications & Qualifications

Associate's DegreeBachelor's Degree

Industry Keywords

Home HealthHospicePayer ContractsEpisodic PaymentsPer Diem Payments

About the role

Key responsibilities & impact

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

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
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