Prior Authorizations Specialist Job at Puget Sound Home Health, Tacoma, WA

  • Puget Sound Home Health
  • Tacoma, WA

Job Description

Home Health & Hospice Prior Authorization Specialist
$25-$30/hour | Full-Time | Remote

Put Your Insurance Prior Authorization Expertise to Work From Home

Puget Sound Home Health & Hospice is seeking an experienced Insurance Prior Authorization Specialist to help ensure patients receive the care they need without unnecessary delays.

Compensation & Benefits

$25-$26/hour, DOE | Full-Time | Remote | Working PST
  • Health: Medical, dental & vision, health concierge, HSA/FSA
  • Time Off: Paid holidays, sick time & PTO
  • Financial: 401(k) match, company-paid life & AD&D
  • Extras: Disability & voluntary insurance options
  • Growth: Professional development & advancement opportunities
What You'll Bring
  • 2 years of Home Health and/or Hospice agency prior authorization or billing experience
  • Homecare Homebase (HCHB) experience required
  • Strong attention to detail and ability to manage multiple priorities
  • Excellent written and verbal communication skills
  • Strong customer service and collaborative problem-solving skills
  • Ability to stay organized and work independently in a remote environment
What You'll Do
  • Verify primary and secondary insurance coverage and patient eligibility
  • Obtain visit authorizations from payers and submit required clinical documentation
  • Verify Medicare and Medicaid eligibility using UGS/DDE and EDS
  • Enter and maintain accurate authorization and patient information in Homecare Homebase (HCHB)
  • Track authorized and unauthorized visits and follow up as needed
  • Maintain current payer requirements and initiate appeals for denied authorizations
  • Prepare patient copay estimates and communicate authorized visits to scheduling
  • Collaborate with clinical, contracting, scheduling, and office teams to resolve authorization issues
  • Assist patients, referral sources, and community partners with payer authorization and coverage questions

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at

Job Tags

Full time, Work at office, Remote work

Similar Jobs

Virtual Vocations Inc

Epic Bridges Analyst Job at Virtual Vocations Inc

 ...Supporting healthcare interface and API initiatives in a remote setting, the contract Epic Bridges Analyst will manage integration solutions, maintain existing interfaces, and collaborate with technical and operational teams.Key responsibilitiesParticipate in interface... 

Straith Hospital

Behavior Assistant-Night Job at Straith Hospital

 ...Job Description Job Description Full-Time: Behavior Assistant Night Shift - Severe Behavior Program (Inpatient and Outpatient)...  ...evening, night, and weekend shifts. Job Overview Straith Hospital is seeking compassionate, motivated, and dedicated Behavior Assistants... 

JP Morgan Chase

Risk Management-Petroleum Engineer- Vice President Job at JP Morgan Chase

Join J.P. Morgan and make a direct impact on the evaluation of oil and gas reserves that drive our lending decisions. As a Petroleum Engineer, you will leverage your technical expertise to assess energy assets and support business growth. This is your opportunity to collaborate... 

CareScout

Registered Nurse RN (No direct care, assessments only) Job at CareScout

 ...Field Team Network, youll just need to: Have a valid, current RN license, in good standing Be technically savvy and have...  ...to travel within 15 miles of your home or further Job Types: Contract, PRN, Per diem Medical Specialty: Addiction Medicine Allergy... 

Hattiesburg Convention Commission

Hospital Assistant (Part-Time) Job at Hattiesburg Convention Commission

 ...Job Description Job Description JOB DESCRIPTION: Hospital Assistant (Part-Time) DEPARTMENT: Veterinary Services LOCATION: Hattiesburg Zoo SHIFT: Maximum 24 hours per week on a schedule requiring a mix of weekdays, weekends, evenings and holidays as required...