Authorization Monitoring and Tracking Specialist

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)”