VitalCaring Group

The specialist coordinates and compiles documentation for payer audits, CMS medical reviews, and appeals within home health and hospice operations. They partner with clinical and operational teams to ensure regulatory readiness and maintain compliance integrity.

Lead enterprise-wide clinical strategies to improve quality outcomes, patient satisfaction, and documentation integrity across home health and hospice services. Oversee clinical resource and quality outcome teams to ensure compliance with CMS standards and optimize value-based care performance.

The Insurance Verification and Authorization Specialist verifies patient insurance eligibility and secures prior authorizations for home health services. This role involves collaborating with various teams to resolve authorization-related issues and ensuring compliance with payer requirements.