Insurance Verification Specialist

Job Summary

A company is looking for an Insurance Verification & Authorization Specialist.

Key Responsibilities

• Conduct insurance verification and obtain prior authorizations for home health services
• Maintain accurate insurance and authorization information in the HCHB system
• Collaborate with staff to resolve authorization-related issues and ensure compliance with regulations

Required Qualifications, Training, and Education

• High school diploma or equivalent required; associate degree or higher preferred
• Minimum 2 years of experience in home health authorization/eligibility processes
• Proficiency in Homecare Homebase (HCHB) strongly preferred
• Strong understanding of Medicare and commercial insurance guidelines
• Experience navigating payer websites/portals