Insurance Verification & Authorization Specialist

As we expand our services in new and existing markets, we're looking for an Insurance Verification and Authorization Specialist who shares our values of being Trustworthy, Capable, Compassionate, Proactive, and most importantly, called to serve. The Insurance Verification and Authorization Specialist verifies patient insurance eligibility and securing prior authorizations for home health services using Homecare Homebase (HCHB). This role is part of a centralized team that supports multiple branches to ensure timely initiation and continuation of care, proper documentation, and compliance with payer requirements. The specialist plays a vital role in minimizing reimbursement delays and ensuring accurate data is captured in HCHB

Join VitalCaring – Where Your Passion Changes Lives! 

Are you looking for a career where compassion meets purpose? At VitalCaring, we’re more than a home health and hospice provider—we’re a family that supports, inspires, and uplifts both our patients and our team members. 

Who We Are 

Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care. 

Why Choose VitalCaring? 

Work That Fits Your Life – Discover the ideal balance of purpose and flexibility. As a full-time salaried clinician, you’ll enjoy the stability of a consistent role with the freedom to manage personal commitments throughout your day. Our field team thrives in an environment that empowers them to make a real impact—while still having the time and space to prioritize what matters most at home. With a generous 6 weeks of paid time off each year, you’ll have the opportunity to recharge, reconnect, and return ready to do your best work. 

Make a Meaningful Impact – Help patients and families navigate their healthcare journey with compassion and dignity. 

Thrive in a Supportive Team – Work with a team who genuinely care and invest in your success. 

Grow Your Career – Take advantage of advanced training, mentorship, and career development opportunities. 

Competitive Pay & Benefits – Receive a rewarding compensation package that recognizes your dedication and expertise. Our benefits are designed to empower you with the resources, flexibility, and security needed to thrive both professionally and personally. 

Health & Wellness 

Medical, Dental & Vision 
Pharmacy Benefits 
Virtual & Mental Health Support 
Flexible Spending Accounts (FSAs) & Health Savings Account (HSA) 
Supplemental Health & Life Insurance 

Financial & Legal 

401(k) with Company Match 
Employee Referral Program 
Prepaid Legal Plans  

Identity Theft Protection 

Work-Life Balance & Perks 

Paid Time Off 
Pet Insurance 
Tuition & Continuing Education Reimbursement 

As the Insurance Verification and Authorization Specialist, you will:

• Conduct insurance verification through payer portals, phone calls, and HCHB’s integrated tools for all new referrals and ongoing patients.
• Initiate and obtain prior authorizations for home health services including nursing, therapy, and aide services as required by payers.
• Accurately enter and maintain insurance, authorization, and eligibility information within the HCHB system in real-time.
• Review patient intake information to ensure payer requirements are identified and addressed early in the admission process.
• Collaborate with intake, clinical staff, case managers, and billing teams to resolve authorization-related issues promptly
• Follow up proactively with insurance companies to ensure timely processing of authorizations and appeals.
• Stay current on payer-specific authorization protocols, documentation requirements, and changes to coverage policies affecting home health.
• Ensure compliance with HIPAA, Medicare Conditions of Participation, and other regulatory standards.
• Maintain organized and auditable records of all insurance and authorization communications and decisions within HCHB and agency systems

Skills for Success:

• Fully remote during agency operating hours
• Ideal candidate should reside in Texas, Louisiana, Mississippi, Florida, or Alabama

• Regular use of computers, phones, and HCHB software system.

• Requires flexibility and the ability to adapt to frequent changes in payer rules and agency workflows.
• Work deals mostly with areas such as preparing and reading data and figures, records, reports, visual inspection involving small details. Although important, depth perception and field of vision (peripheral) are not as critical as the ability to distinguish small details and markings very near to the observer.
• Requires ability to concentrate on fine detail with frequent interruption; ability to focus attention on tasks for 10-20 minutes at a time on a continuous basis, 20-60 minutes on occasion.
• Requires the ability to remain calm and courteous under stress.
• Requires working under strict turnaround time guidelines to meet business needs.
• Requires ability to communicate clearly and make self-understood effectively in face-to-face interactions; articulate with accuracy to communicate using phone.
• Requires ability to hear and receive verbal instructions correctly, answer phones, communicate professionally in situations with some background noise.
• Requires ability to understand and relate to specific ideas one at a time and to the concepts behind specific ideas; ability to remember verbal and written tasks/assignments from a few hours to several day periods.
• Excellent computer software skills necessary to produce accurate documents and materials required.
• Working knowledge of MS Office, Excel or similar software required. Proficient knowledge preferred.
• Requires ability to work effectively under minimal supervision; exercise excellent, sound professional judgment and maintain confidentiality.
• Must have and maintain valid Driver’s License, and proof of current valid auto liability insurance.

Experience to Deliver on our Mission:

• High school diploma or equivalent required; associate degree or higher preferred.

• Minimum 2 years of experience in home health authorization/eligibility processes.

• Proficiency in Homecare Homebase (HCHB) strongly preferred.

• Strong understanding of traditional Medicare, Medicare Advantage, and commercial insurance guidelines.
• Experience navigating payer websites/portals (e.g., Availity, Waystar, Palmetto etc.).
• Detail-oriented with excellent organizational and follow-up skills.
• Effective communication and customer service skills with both internal teams and external payers.

• Ability to multitask in a high-volume, fast-paced remote or office environment.

Come home to VitalCaring where you will find your passion, find your people, and find yourself again. Together we can transform lives and foster hope through genuine caring.

Explore your future with VitalCaring today.