Revenue Cycle Authorization Specialist at Illumia

Mooresville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Mar, 26

Salary

0.0

Posted On

18 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Eligibility Verification, Authorization Submission, Medicare Knowledge, Medicaid Knowledge, Commercial Payer Knowledge, Attention To Detail, Data Management, Communication Skills, Collaboration Skills, HIPAA Compliance, Medical Record Review, Payer Systems Familiarity, HomeCare HomeBase Familiarity, Excel Proficiency, Microsoft Office Proficiency, Deadline Management

Industry

Hospitals and Health Care

Description

Overview Ensure Access. Support Care. Strengthen Outcomes. We are hiring a Revenue Cycle Authorization Specialist who will be responsible for verifying insurance eligibility, submitting authorizations, and ensuring timely and accurate processing of patient coverage across Medicare, Medicaid, and commercial payers. This role is essential in maintaining access to care and supporting the operations of our Home Health and Hospice services. If you’re detail-oriented, familiar with payer systems, and passionate about healthcare access, this is an opportunity to make a meaningful impact. Key Responsibilities: Verify patient eligibility and benefits for Home Health and Hospice services. Work assigned work queues to ensure all benefit-related tasks are completed in a timely manner. Contact insurance companies to confirm hospice coverage, authorizations, and recertifications. Submit initial and follow-up authorization requests, ensuring all required documentation is included. Review medical records for supporting documents needed for approvals. Communicate with field staff, branches, and facilities to obtain any missing information. Accurately document all verification and authorization steps in patients’ medical records. Collaborate with other departments and attend team meetings to share updates and resolve issues. Adhere to HIPAA regulations and maintain the confidentiality of all patient and organizational information. About You Requirements: Bachelor’s degree preferred. At least 3 years of experience in Home Care or Hospice strongly preferred. Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes. Proficient in Excel; working knowledge of PowerPoint and other Microsoft Office tools. Experience entering and managing data within electronic systems. Familiarity with HomeCare HomeBase software is a plus. Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment. Excellent communication and collaboration skills. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Apply today to help transform care through operational excellence and patient-centered access.Make your work matter—start your next chapter with us. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Gentiva Hospice Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated. Related Job Titles Healthcare Claims, Healthcare Collections

Responsibilities

The Revenue Cycle Authorization Specialist is responsible for verifying patient eligibility and benefits, submitting authorizations, and ensuring timely processing of patient coverage. This role involves communication with insurance companies and collaboration with field staff to gather necessary information.