SA Nurses Home Health is looking for a part time remote weekend LVN Intake Verification and Authorization specialist working 6-8 hours each weekend. This role requires strong clinical judgment, excellent communication, and the ability to work independently while maintaining compliance with state, federal and agency standards
This person is responsible for managing all front-end referral, eligibility, payer authorization and ensuring clinical documentation is complete.
Responsibilities:
- Review incoming referrals, and enter into EMR WellSky Kinnser
- Verify insurance eligibility and home health benefits
- Confirm Medicare, Medicaid, and commercial plan eligibility and identify authorization needs
- Submit authorization requests using payer portals
- Communicate approval, denial, pending status to intake, scheduling and clinical leadership
- Request additional documentation from referral source when needed
- Verification of payors
Qualifications
- LVN License compact if working outside of Texas
- 1-2 years' experience in home health intake, authorization, or care coordination
- Strong understanding of insurance
- Excellent communication, organization and multitasking skills
- Experience working with EMR WellSky/Kinnser required
Work Environment
- Remote
- High Volume of phone, email, and EMR activity
- Requires reliable internet, secure workspace, and adherence to HIPPA standards
