Authorization Specialist

• Contact insurance companies and case managers to verify patient insurance coverage and benefit extent
• Utilize UGS/DDE and EDS computer programs to verify Medicare and Medicaid eligibility
• Research possible secondary payers
• Prepare insurance verification forms and accurately enter insurance information into Homecare Homebase (HCHB)
• Prepare patient copayment estimates for clinicians and notify clinicians of preauthorized visits
• Enter visit authorizations into HCHB and maintain audit systems for additional authorization needs
• Report unauthorized visits to the supervisor when applicable
• Track True Blue authorizations for recertification
• Track hospice recertifications
• Submit CHAPS reporting for Home Health and Hospice

Explore Authorization Specialist at Pennant. Review requirements and application details.