Authorizations Specialist Job at Marquis Home Care, Albany, NY

QVlxVnIyNU9BamFJVHZZbkRSTGF4MGo5OEE9PQ==
  • Marquis Home Care
  • Albany, NY

Job Description

a growing Certified Home Health Agency (CHHA) dedicated to delivering exceptional, compassionate care to our patients across counties. We are expanding our administrative and clinical operations team and are seeking a skilled Authorization Specialist with strong knowledge of Homecare Homebase (HCHB) to support our continued growth.

Position Overview

The Authorization Specialist is responsible for securing and maintaining authorizations for all home health services, ensuring timely and accurate submission of required documentation, and collaborating with payors, clinicians, and internal departments. This role is essential to smooth care delivery, compliance, and optimized reimbursement.

Key Responsibilities

  • Obtain, verify, and maintain authorizations for CHHA services including skilled nursing, therapy, HHA, and additional care services.
  • Process all authorization requests through Homecare Homebase (HCHB) with accuracy and efficiency.
  • Communicate with insurance companies, MLTCs, Managed Care plans, Medicare Advantage, and other payors to ensure timely approvals.
  • Track authorization statuses, expirations, and visit utilization to avoid lapses in coverage.
  • Collaborate with intake, scheduling, clinical teams, and billing to ensure compliance with care plans and payor requirements.
  • Monitor daily reports and resolve authorization issues proactively.
  • Ensure documentation meets payor guidelines and CHHA regulatory standards.
  • Maintain detailed records and support audits as needed.

Qualifications

  • Minimum 1-2 years of experience as an Authorization Specialist in a CHHA or home care environment.
  • MUST have hands-on experience in Homecare Homebase (HCHB).
  • Strong understanding of CHHA workflows, payor requirements, and utilization practices.
  • Excellent communication and follow-up skills with payors and internal teams.
  • Highly organized with strong attention to detail.
  • Ability to work in a fast-paced environment and manage multiple priorities.
  • Familiarity with Medicare, Medicaid, MLTC, and Managed Care authorizations.

Preferred Skills

  • Experience with visit utilization management.
  • Knowledge of New York State CHHA regulations
  • Bilingual language skills

Benefits

  • Competitive salary
  • Health, dental, and vision insurance
  • PTO + paid holidays
  • Professional growth opportunities
  • Supportive team environment

Job Tags

Similar Jobs

Vaco by Highspring

Part Time Receptionist - North Scottsdale Job at Vaco by Highspring

 ...located in North Scottsdale that is seeking a part-time Front Desk Receptionist to join their...  ...Responsibilities: * Warmly greet and assist visitors, vendors, and employees with professionalism...  ...bonuses, and can participate in medical, dental, and vision benefits as well as the... 

JASPER

Marketing Coordinator Job at JASPER

 ...marketing or coordination experience preferred ~ Experience in luxury, real estate, design, or construction-adjacent industries is a plus For additional information please contact: Emily Enz Senior Executive Recruiter (***) ***-**** ****@*****.***... 

icreatives

Video Production Assistant 7XY6W4YX Job at icreatives

 ...Video Production Assistant - Part-Time Pembroke Pines, FL area, Temp, Hybrid + On-Site as Needed Part-time: 20 to 30 hrs/week Do you love telling stories through video? We're looking for a versatile Video Production Assistant (Part-Time) to join our client... 

The Clorox Company

Procurement Category Manager, Food & Agriculture Job at The Clorox Company

 ...The Clorox Company is seeking an experienced and dynamic Procurement Category Manager for Food Ingredients and Agricultural Products to join our Global Procurement team. In this strategic role, you will lead global sourcing strategies for a $140M$170M raw material portfolio... 

WICK IT, LLC

Machine Operator Job at WICK IT, LLC

WE ARE HIRING!!!**Now Hiring: Manufacturing Team Members** WICK IT, LLC is looking for hardworking, dependable individuals to join our manufacturing team. This is steady, hands-on work in a clean manufacturing environment. We want people who show up on time, pay...