Home Health Authorization Coordinator Jobs in Warm Hearth Village in Blacksburg, VA - USA

Home Health Authorization Coordinator

Warm Hearth Village

Posted on : 13-04-2025

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1 Vacancy

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Job Location

Blacksburg, VA - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 13-04-2025

Job Description

Warm Hearth Village

A Nonprofit Community

Our Mission: Fostering a personcentered approach to agingin an inclusive environment that redefines retirement.

Our Vision: To nurture a transformative culture where peoplelive and work in community knowing their contributions are essential to oursuccess.

Our Values: Innovation Community Collaboration Passion Inclusivenessand Ethics.

Position Summary:

We are seeking adetailoriented and organized Home Health Authorization Coordinator tojoin our team. This role is responsible for obtaining tracking and managingall prior authorizations for home health services. The ideal candidate willhave a solid understanding of insurance requirements and home healthregulations and will work closely with clinical and administrative staff toensure timely accurate authorization processing.

Key Responsibilities:

Submit and track prior authorization requests for all home health services including nursing therapy and aide care
Verify insurance eligibility benefits and authorization requirements
Communicate with insurance companies physicians and internal departments to gather required documentation and respond to requests
Monitor pending authorizations and follow up on delayed or denied requests
Maintain accurate and uptodate records in EMR and tracking systems
Notify clinical teams of authorization statuses to ensure compliant service delivery
Assist with appeals or peertopeer processes when authorizations are denied
Ensure compliance with all applicable payer guidelines HIPAA and company policies

Qualifications:

High school diploma or equivalent required; associate degree or relevant certification preferred
Minimum 2 years of experience in home health healthcare billing or insurance authorization
Strong understanding of Medicare Medicaid and commercial insurance plans
Familiarity with EMR systems and medical terminology
Excellent communication organizational and time management skills
Ability to work independently in a fastpaced environment and meet tight deadlines
High attention to detail and accuracy

Preferred Qualifications:

Experience with MatrixCare
Knowledge of home healthspecific documentation requirements

Hiring Manager:Josh ToneyAdministrator

Required Experience:

Employment Type

Full Time

Company Industry

Key Skills

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About Company

Warm Hearth Village

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Home Health Authorization Coordinator

Warm Hearth Village

Job Description

Employment Type

Company Industry

Key Skills

About Company

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