Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –– at home.
Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for Authorizations Coordinators to join our award-winning team.
Key Responsibilities
Qualifications
Why Choose Pinnacle?
Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!
Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for Authorizations Coordinators to join our award-winning team.
Key Responsibilities
- Coordinate and process patient authorization to completion with precision, detail, and accuracy.
- Must be detail-oriented with the ability to multi-task and be open to cross-functional training in all departments.
- Serve in a highly patient-focused role that works directly with our branches, clinicians, Case Managers, Physicians/ PCP(s), insurance representatives, outside vendors, and other medical personnel.
- Obtain and track all authorization and re-authorization as indicated by payer(s), or by scheduled visits by the clinician for services ordered/requested in a timely manner.
- Review and resolve KanTime authorization issues.
- Communicate with branches, eligibility, and Intake when patient insurance has changed.
- Transmit documents provided by the agency OASIS, POC, and orders provided by the referring facility or provider to support the authorization request throughout the life cycle of the patient treatment/episode.
- Coordinate and communicate with the appropriate agency personnel and/or billing department regarding any changes or updates from the payer in a timely manner.
- Provide front-line support to agency for authorization dates in comparison to patient treatment (SOC) dates and scheduling issues that arise from authorization need.
- Communicate professionally with inter-company departments on resolution of potential disputed items.
- Effectively manage the authorization throughout the course of a patient episode to ensure that the patient’s treatment coincides with the authorization provided by the Insurance carrier.
- Assign any Office Authorization as needed for patient care to continue without delay, until authorization has been submitted and returned with a decision.
- Monitor Zendesk, KanTime fax inquiries, and incoming faxes throughout the day to update patient authorization status and adhere to any failed faxes in KanTime requiring more information to process authorization.
- Analyze and reconcile complex issues and problems.
- Prepare and analyze appropriate reports and other business correspondence.
- Identify needs and opportunities and present them to the supervisor with recommended solutions.
- Meet productivity goals assigned by the Authorization Supervisor.
- Adhere to federal, state, and agency regulations and policies to maintain confidentiality of patients and agency information per HIPPA requirements.
- Respond to all inquiries with a resolution to concerns and/or discrepancies.
Qualifications
- Knowledge of medical terminology, CPT, HCPCS, and ICD coding.
- Strong organizational and time management skills with the ability to effectively prioritize and complete tasks.
- Ability to constructively work independently when faced with high workloads and deadlines.
- Excellent written and verbal communication skills with the ability to address customer concerns in a courteous and timely manner.
- Strong knowledge of relevant computer systems.
Why Choose Pinnacle?
- Personalized, One-on-One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes.
- Growth & Stability: Over two decades as Florida’s largest independent home health agency.
- Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
- Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
- Recognized Excellence: Ranked as a USA Today Top Workplace.
- Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities.
- Supportive & Fun Culture: Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.
Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!
About the company
Company website•Hospitals and Health Care
Pinnacle Home Care, the largest independent home health provider in Florida, has proudly served our communities for over two decades.
We are a team driven by a passion for home healthcare with an unwavering commitment to the well-being of our patients and their families. At Pinnacle, we foster a forward-thinking, collaborative workplace culture. This has earned us multiple recognitions including the Top Workplaces USA award – a testament to our focus on supporting and empowering our employees.
We offer a comprehensive range of services, including skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide support to more than 10,000 patients every day. We strive to help our patients confidently manage their health at home and maintain their dignity, not only now, but long after our services are complete.
At Pinnacle, we are proud to make a meaningful difference in the lives of patients and their families every day. Join us in our mission to deliver compassionate healthcare where it matters most – at home.