Intake and Precertification Specialist – Home Health and Hospice

WVU Medicine

. Coordinate intake for new patient referrals, including receiving referral information, insurance verification, and scheduling initial assessments.

Posted 9/18/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance verification, authorization processes, and patient referral coordination, with a strong understanding of CPT, ICD 10, and HCPC coding. Proven ability to communicate effectively with patients and healthcare professionals while maintaining accuracy and efficiency in a high-volume environment.

Highest-signal resume keywords

Insurance VerificationAuthorization ManagementCPT Coding KnowledgeEPIC Platform ExperienceCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD 10 CodingHCPC CodingAuthorization DocumentationInsurance CommunicationReferral CoordinationPrecertification ManagementDenial ManagementData EntryMedical Terminology

Soft Skills

Effective CommunicationAttention to DetailMultitaskingPrioritizationCustomer Service

Tools & Technologies

EPIC

Industry Keywords

Healthcare IntakeThird-Party Payor RequirementsPost-Acute Care AuthorizationReferral ManagementAuthorization Practices

About the role

Key responsibilities & impact

Coordinate intake for new patient referrals, including receiving referral information, insurance verification, and scheduling initial assessments.
Serve as the primary contact for patients, families, referral sources, and healthcare professionals regarding referral and authorization status.
Obtain and document initial and ongoing authorization numbers using EPIC or other electronic systems.
Maintain accurate precertification, authorization, and referral communication documentation.
Communicate with insurance companies to obtain prior authorization and resolve authorization-related issues.
Monitor authorization status and certification deadlines, including proper sequencing of payors for billing.
Enter and maintain patient referral and insurance information in appropriate systems.
Coordinate initial assessment scheduling with clinical staff.
Apply CPT and HCPC coding knowledge to precertify and authorize home health/hospice referrals.
Assist with denial management, audits, and documentation requests.
Track referral activity and ensure timely processing to support admission and billing.
Communicate with internal departments regarding authorization status and referral progress.
Meet productivity, throughput, turnaround-time, and deadline expectations.
Provide exceptional customer service to patients, families, referral sources, and care teams.

Requirements

What you’ll need

High School Diploma or equivalent.
Two (2) years’ experience in insurance verification, authorization or healthcare intake.
Knowledge of CPT, ICD 10, HCPC, LMRPs, and similar coding/guidelines for post-acute care authorization.
Knowledge of third-party payor requirements, contracts, authorization and payment practices.
Knowledge of EPIC platform preferred, although others will be taken in consideration, if appropriate.
Medical terminology experience.
Ability to complete tasks consistently.
Ability to communicate effectively with the public and health care team in a courteous and professional manner.
Ability to prioritize tasks and multitask.
Ability to maintain accuracy, efficiency, timeliness, and attention to detail in a high-volume, deadline-driven environment.