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 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