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Puget Sound Home Health

Prior Authorizations Specialist

$25 - $30/hr

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 ...

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What is the difference between Remote 30 Hour vs Remote 30 Hour Customer Service Representative?

AspectRemote 30 HourRemote 30 Hour Customer Service Representative
CredentialsHigh school diploma or equivalent; relevant experienceHigh school diploma or equivalent; customer service experience often preferred
Work EnvironmentHome-based, flexible hoursHome-based, primarily customer interaction
Industry UsageVarious industries including education, healthcare, and techCustomer service across retail, telecom, and service sectors
Common Search IntentGeneral remote work opportunities with 30 hours/weekRemote customer service roles with 30 hours/week

The main difference is that 'Remote 30 Hour' refers to a flexible, part-time remote work position across various industries, while 'Remote 30 Hour Customer Service Representative' specifically targets customer service roles. Both require similar credentials, but the latter emphasizes customer interaction skills. Understanding these distinctions helps job seekers find roles aligned with their experience and career goals.

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Prior Authorizations Specialist

Puget Sound Home Health

Remote

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Home Health & Hospice Prior Authorization Specialist$25-$30/hour | Full-Time | RemotePut 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-$30/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 http://www.pennantgroup.com.

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