Insurance Verification and Authorization Specialist

workatabsolute

Caldwell, Ohio

JOB DETAILS
SKILLS
Accounts Receivable Management, Accreditation Standards, Billing, Case Management, Communication Skills, Customer Support/Service, Detail Oriented, Documentation, Financial Management, Health Maintenance Organization (HMO), Healthcare, High School Diploma, Home Care, Hospice Care, Insurance, Insurance Regulations, Managed Care, Medicaid, Medical Equipment, Medical Terminology, Medicare, Medications, Organizational Skills, Palliative Care, Patient Care, Patient Care Denials, Problem Solving Skills, Quality Assurance, Quality Management, Regulatory Compliance, Requirements Management, Team Building, Team Player, Time Management
LOCATION
Caldwell, Ohio
POSTED
5 days ago

Insurance Verification & Authorization Specialist – Homecare
Absolute Home Health & Hospice
Full-Time | Monday–Friday | 8:00 AM – 4:30 PM | Benefits Eligible

Are you detail-driven, compassionate, and looking to make a meaningful impact behind the scenes of patient care? Join Absolute Home Health & Hospice, where every role contributes to delivering exceptional, dignified care to those who need it most.

At Absolute, we proudly serve homebound, chronically ill, and end-of-life patients across 24 counties in Ohio. Our interdisciplinary team is committed to seeing the whole person—not just a diagnosis—creating meaningful connections with patients and their families every day. As we continue to grow, we’re strengthening our partnerships and expanding our ability to serve with excellence.

We are seeking an Insurance Verification & Authorization Specialist to support our Homecare team by ensuring patients receive timely access to the services they need.

What You’ll Do

In this vital role, you will be the bridge between patients, providers, and payors—ensuring services are authorized, documented, and communicated efficiently.

  • Verify insurance eligibility, benefits, and authorization requirements prior to admission
  • Submit and manage prior authorization requests for services including home health, therapies, hospice, palliative care, medical equipment, and medications
  • Maintain accurate and timely documentation in designated systems
  • Collaborate closely with Service Coordinators, case managers, and billing teams
  • Monitor and follow up on pending authorizations to prevent delays in care
  • Communicate clearly with patients, families, and referral sources regarding coverage, denials, and financial responsibilities
  • Assist with appeals and identify alternative coverage resources when needed
  • Stay current on insurance regulations, including Medicare, Medicaid, and managed care requirements
  • Support compliance with all regulatory and accreditation standards
  • Contribute to quality improvement initiatives and team collaboration efforts

What We’re Looking For

  • High school diploma required; Associate degree preferred
  • Experience in insurance verification, billing, accounts receivable, or managed care preferred
  • Knowledge of Medicaid, HMOs, and insurance processes in home care strongly preferred
  • Strong attention to detail and ability to manage complex, evolving information
  • Excellent communication and customer service skills
  • Ability to work independently and problem-solve effectively
  • Familiarity with medical terminology

 

Why Join Absolute?

  • Be part of a mission-driven organization that values compassion and dignity
  • Work alongside a supportive, collaborative team
  • Make a direct impact on patient access to care
  • Grow your career in a stable and expanding healthcare organization

If you’re ready to bring your skills to a team that truly values the difference you make, we’d love to hear from you.

Apply today and be part of something meaningful.


About the Company

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