Job Description
Description:
The Authorization Specialist plays a critical role in ensuring timely and accurate authorization of home care services. This position is responsible for verifying patient eligibility, obtaining and tracking authorizations, managing M11Q documentation, and maintaining accurate data within internal systems. The Authorization Specialist works closely with clinical, intake, and billing teams to support seamless service delivery and compliance with regulatory and payer requirements.
What You Will Do:
The Authorization Specialist plays a critical role in ensuring timely and accurate authorization of home care services. This position is responsible for verifying patient eligibility, obtaining and tracking authorizations, managing M11Q documentation, and maintaining accurate data within internal systems. The Authorization Specialist works closely with clinical, intake, and billing teams to support seamless service delivery and compliance with regulatory and payer requirements.
What You Will Do:
Accurately enter and maintain patient profile and authorization data, including service order creation or extension, service line updates, diagnosis codes, certification dates, and case documentation in internal systems.
Obtain, review, and track authorizations to ensure accuracy in service units and timely maintenance of patient records.
Ensure all au...