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Gentiva

In-home hospice, palliative, and health services

Revenue Cycle Authorization Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeMooresville, NC, USANo salary listedIn-person

About the Job

Requirements

  • A Bachelor's degree is preferred.
  • At least 3 years of experience in Home Care or Hospice is strongly preferred.
  • Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes is required.
  • Proficiency in Excel and working knowledge of PowerPoint and other Microsoft Office tools are required.
  • Experience entering and managing data within electronic systems is required.
  • Familiarity with HomeCare HomeBase software is a plus.
  • Strong attention to detail and the ability to manage multiple tasks in a deadline-driven environment are required.
  • Excellent communication and collaboration skills are required.
  • The employee must meet state-specific requirements where applicable.
  • The employee must meet minimum requirements to be eligible for benefits.

Responsibilities

  • Verify patient eligibility and benefits for Home Health and Hospice services.
  • Work assigned work queues to ensure all benefit-related tasks are completed in a timely manner.
  • Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
  • Submit initial and follow-up authorization requests, ensuring all required documentation is included.
  • Review medical records for supporting documents needed for approvals.
  • Communicate with field staff, branches, and facilities to obtain missing information.
  • Accurately document all verification and authorization steps in patients’ medical records.
  • Collaborate with other departments and attend team meetings to share updates and resolve issues.
  • Adhere to HIPAA regulations and maintain the confidentiality of patient and organizational information.

Desired Qualifications

  • Familiarity with HomeCare HomeBase software.

About the Company

Gentiva

In-home hospice, palliative, and health services

Gentiva provides in-home hospice, palliative, and home health care through a nationwide network of locations. It delivers care by coordinating in-home visits from clinicians and therapists, including skilled nursing, therapy services, and pain and symptom management, with an Advanced Illness Management model for patients not yet eligible for hospice. Gentiva differentiates itself with an integrated in-home care platform and strategic growth through acquisitions, such as ProMedica’s home health, palliative, and hospice operations. Its goal is to help patients stay at home while receiving comprehensive care and to reduce avoidable hospitalizations for families and caregivers.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Atlanta, GA
Founded
2004

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