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Home Health Insurance Authorization Specialist

Job Details

This is a remote full time position scheduled for 8 hour shifts, 5 days a week Monday-Friday from 9am-5:30pm CST / 10am-6:30pm EST.

As a Healthcare Insurance Authorization Specialist, you will report directly to the Authorization Supervisor and be responsible for:

  • Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met.

  • Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition

  • Weekly generation of site revenue and resolution of batch errors and bill holds as appropriate.

  • Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue.

  • Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners

  • Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines.

  • Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing

  • Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements.

  • Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents.

  • Alerts appropriate team members at the Site regarding late or missing documents required for billing.

  • Establish and maintain positive working relationships with Sites, Nursing Home Facilities, and AR Teams.

  • Maintain the confidentiality of patient/client and agency information.

  • Maintain accurate and up to date information for all vendor and nursing facility contracts.

  • Keep information in an orderly manner readily accessible for review. Presents status as requested.

  • Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures.

  • Participate in special projects and performs other duties as assigned.

  • Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary.

  • Act as an information resource for any hard revenue generation issues or system issues. Basically the subject matter expert.

  • Assure the completion and coordination of work in an associate’s absence, or as needed to maintain departmental standards.

Use your skills to make an impact
 

Required Experience/Skills:

  • One or more years of related experience and/or training preferred.

  • Two or more years of Home Healthcare or Medical Office experience preferred.

  • Knowledge of insurance reimbursement and authorization process preferred.

  • Proficient in using computers and Microsoft Office applications, including Word, Excel, and Outlook.

  • Two years college preferred.

Additional Information:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$43,000 – $56,200 per year

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-10-2026

About us
 

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

​
Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

APPLY HERE: Home Health Insurance Authorization Specialist

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Medical Services Coordinator

Job Details

Are you someone who thrives on organization, communication, and making a meaningful impact behind the scenes? MEM Insurance is seeking a Medical Services Coordinator to support our Nurse Case Management (NCM) team within the Claims department. In this role, you will play an important part in coordinating non‑clinical administrative activities that allow our nurses to focus on delivering high‑quality, patient‑centered care.
 
You will serve as a key connector—working closely with healthcare providers, vendors, injured workers, and internal partners to ensure medical appointments, documentation, and care coordination activities are completed accurately and on time. Your contributions will help improve workflow efficiency, reduce administrative burden on clinical staff, and support MEM’s mission of helping people recover and move forward.
 

 

Essential Duties and Responsibilities

  • Coordinate scheduling and logistics for medical appointments, diagnostic testing, and therapy services related to workers’ compensation claims.
  • Communicate with healthcare providers, vendors, and injured workers to confirm appointments and ensure all required documentation is obtained.
  • Track scheduled services and proactively follow up to ensure timely completion and receipt of reports.
  • Request, obtain, organize, and maintain medical records and reports from healthcare providers and vendor partners.
  • Prepare and manage case documentation related to referrals, appointments, and care coordination activities.
  • Accurately enter and update case information in electronic systems in accordance with departmental standards and compliance requirements.
  • Monitor data accuracy and assist with reporting or audit requests as needed.
  • Serve as an administrative liaison between the Nurse Case Management team and external partners to support non‑clinical aspects of care coordination.
  • Provide general administrative and organizational support to ensure efficient day‑to‑day operations of the NCM team.
  • Act in alignment with MEM Insurance’s vision, mission, and values.

 

 

Qualifications

Education
  • High school diploma or equivalent required
  • Bachelor’s degree preferred
Experience
  • Minimum of 2 years of administrative experience, preferably in a healthcare, insurance, or case management environment
Licenses
  • Valid driver’s license required

 

 

Company Culture and Values

At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
 

 

Diversity Statement

MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
 

 

Total Rewards Overview

  • Competitive base salary
  • Annual performance bonus
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance

 

 
Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.
 

Job Details

Pay Type
Hourly
Hiring Min Rate
39,200 USD
Hiring Max Rate
58,800 USD
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Talent Attraction Coordinator

Job Details

Location Indianapolis, Indiana; Charlotte, North Carolina; Dallas, Texas; Minneapolis-St. Paul-Bloomington, Minnesota; Pittsburgh, PennsylvaniaPosition Type Full time

 

At the American Cancer Society, we’re working to end cancer as we know it, for everyone. Our employees and 1.3 million volunteers are raising the bar every single day. We are a culture comprised of diverse backgrounds and experience, to better serve our communities. 

 
 

The people who work at the American Cancer Society focus their diverse talents on our lifesaving mission. It is a calling. And the people who answer it are fulfilled.

 

 

 

 

**This is a 100% remote role. Ideal candidate will sit in CST or EST**

 

POSITION SUMMARY:

The Talent Attraction Coordinator is responsible for delivering outstanding candidate experience through candidate interview scheduling across the organization, as well as completing all preboarding tasks for new hires to aid in a seamless transition for the recruitment process. This role is responsible for coordinating and supporting the recruitment activities of the organization and will assist in various stages of the process with emphasis on organizational skills and attention to detail.

 

ESSENTIAL FUNCTIONS:

  •  Schedule and coordinate interviews in a virtual environment while also potentially face-to-face, ensuring all necessary arrangements are in place. Communicate effectively with candidates throughout the recruitment process, providing timely updates and feedback while having a strong focus on being helpful, friendly and positive. Provide a consistent and positive hiring leader experience, making sure all calendars are coordinated and documents/information on applicants is properly communicated within a timely manner. 50%
  • Manage candidate data and maintain accurate records in Workday. 10%
  • Coordinate preboarding tasks such as extending offers, new hire paperwork, background check management, and internal partnerships with other departments who aid in the new hire transition. 20%
  • Partner with Learning & Development on all new hires and anticipated start dates. 10%
  • Contribute to the continuous improvement of recruitment processes and candidate experience.
  • Assist in the creation of interview guides and evaluation forms while leading the execution and collection of those documents. 10%

 

EXPERIENCE/QUALIFICATIONS:

  • Degree Required: Associate’s Degree OR equivalent experience
  • Years of experience: 1-3 years of related recruiting coordinator experience

 

KNOWLEDGE, SKILLS, AND ABILITY:

  • Ability to self-manage day to day tasks and pivot when necessary
  • Exceptional oral and written communication skills 
  • Ability to multi-task in a fast-paced environment 
  • Comfortable with Workday and Microsoft programs with emphasis on Microsoft Forms, Microsoft Excel and calendar scheduling through Microsoft Outlook.

 

TRAVEL REQUIREMENTS:

  • Minimal travel required.
  • The People Team typically meets once per year in person.

 

PHYSICAL REQUIREMENTS:

  • This is a work at home position that may require more sitting than usual

 

 

The starting rate is $20.50-$25.00/hour. The final candidate’s relevant experience/skills will be considered before an offer is extended. Actual starting pay will vary based on non-discriminatory factors including, but not limited to, geographic location, experience, skills, specialty, and education.

 

 

ACS provides staff a generous paid time off policy; medical, dental, retirement benefits, wellness programs, and professional development programs to enhance staff skills. Further details on our benefits can be found on our careers site at: jobs.cancer.org/benefits. We are a proud equal opportunity employer.

APPLY HERE: Talent Attraction Coordinator

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Customer Experience Representative

Job Details

Sycle is a market-leading global SaaS company with the mission of facilitating the delivery of better hearing to the world. Founded in 2001, we have grown to be the leading practice management solution for audiology (hearing care) providers, with more than 65% market share. The Sycle practice management solution frees up valuable time so our customers can grow their businesses through delivering high quality patient care and exceptional services that delight their customers. Small hearing care practices and some of the largest retailers utilize our software in 13 countries worldwide.

The Sycle team is 120 strong. We are headquartered in Lone Tree, Colorado with offices in Alabama and Vancouver, and a large remote workforce. We are always on the lookout for exceptional talent to help us build and deliver market-leading tools that make a difference for our customers. Check out our job listings and apply!


Position Requirements 

As a vital part of the Sycle Team, the Customer Experience team strives to provide our customers with a level of support to exceed the customer’s expectations. The role involves supporting our audiology platform, helping customers learn the system and leverage its functionality. Inquiries range from technical issues to sometimes complex billing and medical insurance issues. Someone with experience and/or certifications in the medical insurance space is a requirement of this role.

This is a remote position that requires the applicant to work from home from one of the following states: AL, CA, CO, FL, IL, MN, NV, OR, TX or UT.

Key Competencies Required

  • Customer Focused: This person will serve as the front line to Sycle customers. This will involve managing customer inquiries and helping customers get the most out of Sycle, including supporting complex billing and insurance inquiries
  • Communication Skills: Ability to effectively listen and communicate with Sycle customers and the internal Sycle team.
  • Learning Ability: Candidates must be quick learners. Knowledge of our core software and the ancillary products is a must to effectively support existing and new customers. Looking for a proven ability to learn various ideas, backgrounds, and concepts. Pick up a new concept quickly.
  • Teamwork: Sycle is a dynamic, fast-paced environment. We are looking for individuals that will be proactive and take the lead in solving our customers’ technical issues while partnering well with critical functions such as Customer Service and Marketing.

Skills and Knowledge

  • Experience with medical claims 
  • Understanding medical terminology 
  • Familiar with CPT, HCPCS, ICD-10
  • Medical billing knowledge

Position Responsibilities

  • Understand the functionality of the Sycle platform and be able to communicate information in a succinct and timely manner to customers
  • Ability to build professional relationships with the customer to maintain their satisfaction with Sycle’s product and services
  • Providing basic information and training for new Sycle users
  • Provide account maintenance and support, including clinic additions, clinic cancellations, billing updates, ownership transfers and subscription renewals.
  • Identify problematic workflows that disrupt the proper functionality of the software
  • Report core functionality suggestions for Sycle through feature requests
  • Understand common FAQs and how to resolve them
  • Provide browser support for Google Chrome by clearing cookies and cache, setting file associations, setting security and pop-up exceptions, and disabling and enabling plugins and flags
  • Understand Sycle reporting functions and how to acquire the information that the customer is seeking
  • Remain informed on software defects and other system issues to help troubleshoot with customers
  • Effectively manage cases through Sycle’s CRM system, HubSpot
  • Escalate issues as needed in a timely manner

Basic Qualifications

  • 2-3+ years of technical help desk experience
  • Strong customer focus orientation
  • Strong problem analysis and problem solving skills
  • Effective at implementing processes and procedures
  • Strong verbal and written communication skills
  • Must be high energy with a results-driven personality
  • Ability to form positive relationships
  • Like to have – AAPC certification, CPB in Professional Billing

Nice to Have

  • Experience working with Waystar and/or Optum Intelligent EDI

This fully-remote role at Sycle offers a competitive hourly wage, internet subsidy and Sycle’s benefits plan. If you’re a strong fit for this role and live in the following US states:  AL, CA, CO, FL, IL, MN, NV, OR, TX or UT please apply. Due to the number of applications we expect to receive, only successful candidates will be contacted.

APPLY HERE: Customer Experience Representative

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Insurance Claims Support Specialist | Patient Financial Services

Job Details

As an Insurance Claims Support Specialist, you play a critical role in ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards. You’ll investigate and evaluate claims, verify coverage, and support timely resolution while collaborating with internal teams and external stakeholders. This role involves responding to inquiries, assisting clients with proper claim submission, and maintaining detailed, compliant records. Your work helps drive operational efficiency, supports audit readiness, and ensures a seamless claims experience for all parties involved.


Responsibilities

Key Responsibilities


• Review and evaluate insurance claims to ensure accuracy and timely processing
• Investigate claims, gather relevant information, and support settlement negotiations
• Respond to inquiries from claimants, providers, and other related parties
• Assist clients in submitting claims accurately and in accordance with guidelines
• Collaborate with internal teams to facilitate efficient claim resolution
• Maintain detailed, accurate records and ensure compliance with regulatory and audit requirements


Qualifications

Minimum Qualifications

 

Required:


• High school diploma or equivalent
• 2+ years of experience in insurance coverages or related support
• Working knowledge of insurance policies, coverage, and claim adjudication processes
• Experience investigating, resolving, and following up on claim issues
• Strong communication and customer service skills with the ability to manage high-volume phone work
• Ability to maintain accurate records and ensure compliance with regulatory requirements

 

Preferred:


• Experience with Epic
• Insurance registration experience
• Medical/healthcare experience
• Willingness to handle a high volume of outbound calls

APPLY HERE: Insurance Claims Support Specialist | Patient Financial Services

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