Home Health Authorization / Billing Specialist

Responsible for obtaining authorizations for home care services, maintaining accurate medical records, supporting front desk operations, and handling billing and collections tasks for a home health agency.

Key responsibilities include:

• Obtain initial and follow-up authorizations in accordance with insurance contracts
• Notify staff of authorization approvals, visit limits, and discharge needs due to denial of further authorization
• Maintain active and inactive medical records, including filing, scanning, and electronic file audits
• Review patient forms, start-of-care documents, and discharge documents for compliance
• Greet visitors, customers, and staff professionally and maintain confidentiality
• Prepare admit packets and maintain inventory
• Prepare and distribute reports, correspondence, memos, and schedules
• Support employee training and in-services scheduling
• Operate multi-line phones, fax, copier, and other office equipment
• Collect and distribute mail and incoming faxes to the appropriate personnel
• Prepare and submit clean claims to insurance companies and self-pay patients
• Answer billing questions and help resolve billing complaints and issues
• Provide weekly billing updates to the supervisor
• Meet DSO and cash collection goals and payer-specific billing deadlines
• Perform routine collections activities, including dunning letters, phone collections, claim corrections, troubleshooting, and problem-solving
• Maintain HIPAA compliance and strict confidentiality of clinical and billing records
• Perform other duties as assigned