HPSC-Home Health Intake & Authorization Coordinator

Position:HPSC-Home Health Intake & Authorization Coordinator

Location: Longview, TX

Job :3627

# of Openings:1

Job Title:
Full Time - Home Health Intake & Authorization Coordinator

Location:
Longview, TX, 75601

Agency:
High Plains Senior Care

Job Title:
Home Health Intake & Authorization Coordinator

The Home Health Intake & Authorization Coordinator is responsible for managing the referral intake process, obtaining insurance authorizations, verifying patient eligibility, and coordinating the start of care. This position serves as a liaison between referral sources, physicians, insurance companies, clinical staff, and patients to ensure timely, accurate, and compliant admissions.

• Receive, review, and process incoming home health referrals.
• Verify insurance eligibility and benefits for all new referrals.
• Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers.
• Coordinate with physicians to obtain face-to-face documentation, and any additional required paperwork.
• Ensure referrals meet Medicare and payer-specific coverage criteria.
• Enter patient demographics, insurance information, physician orders, and referral documentation into the electronic medical record (EMR).
• Maintain communication with referral sources regarding referral status.
• Track authorization expiration dates and request extensions or additional visits as needed.
• Resolve insurance authorization issues that may delay patient admission or continuation of services.
• Maintain accurate documentation and comply with HIPPA, Medical Conditions of Participation, and agency policies.
• Assist with census growth by facilitating timely admissions.
• Participate in quality improvement initiatives and workflow optimization.
• Perform other duties as assigned.

• High school diploma or GED required.
• Minimum of 2 years of home health intake, insurance authorization, or medical office experience preferred.
• Knowledge of Medicare, Medicare Advantage, other payers, and prior authorization requirements.
• Experience with Homecare Homebase.
• Strong understanding of home health eligibility requirements and physician documentation.
• Excellent organizational, multitasking, and problem-solving skills.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and computer applications.
• Ability to work independently and as part of a multi-disciplinary team.

• Excellent attention to detail.
• Ability to prioritize multiple referrals in a fast-paced environment.
• Strong customer service skills when interacting with patients, families, referral sources, and physicians.
• Ability to maintain confidentiality and professionalism.
• Knowledge of medical terminology and insurance billing processes.

• Prolonged periods of sitting and computer work.
• Ability to communicate effectively by telephone and in person.
• Ability to occasionally lift up to 20 pounds.
• Office-Based position in a home health agency.
• Frequent interaction with referral sources, physicians' offices, insurance representatives, and clinical staff.