Position Summary
The Authorization Monitoring and Tracking Specialist is responsible for managing and overseeing all payer authorization processes to ensure timely approval and continuity of patient care. This position plays a vital role in coordinating with care coordinators, payers, and clinical teams to track, follow up, and record all initial and additional authorizations accurately and efficiently.
Key Responsibilities :
- Review new referrals & additional visit requests daily, log into the Authorization Tracker.
- Monitor payer portals (e.g., Kaiser, Carelon, other insurance); follow up if no response in 48 hours.
- Notify care coordinators on approvals / denials with authorization, dates, visit counts, and conditions.
- Enter approvals into the back-office / EMR; attach letters / screenshots; ensure billing / scheduling visibility.
- Flag expiring authorizations (7–10 days out); compile weekly summary for DPCS.
- Escalate after 5 business days without response or for repeated denials / urgent cases.
- Maintain organized, audit-ready records (letters, emails, date-stamped trackers).
Qualifications :
Experience in Home Health or Hospice setting (required).Strong knowledge of payer portals (Kaiser, Carelon, and other insurance).Excellent attention to detail and organizational skills.Proficiency with Excel, EMR / Back Office systems, and email communication.Strong communication skills (verbal and written).Ability to manage multiple authorizations and deadlines in a fast-paced environment.Preferred :
Prior experience as an Authorization Coordinator, Intake Coordinator, or Care Coordination Assistant in home health or healthcare setting.Familiarity with CMS and payer authorization guidelines.Benefits :
Competitive pay.Health, dental, and vision insurance.Paid time off (PTO), paid sick days and holidays.Opportunities for growth within the agency.Supportive and team-oriented work environment.To Apply
Send your resume and cover letter to this posting with the subject line :
“Authorization Monitoring and Tracking Specialist – [Your Name]”