Job Description – Home Health and Hospice Authorization and Verification Quality Assurance Specialist

Companies come and go, but Homecare Homebase’s dedication to quality and empowering exceptional care has allowed us to become a leader in our industry. We’re seeking an experienced quality assurance specialist who can build upon this reputation with their unwavering commitment to quality and accuracy. The ideal candidate is an exceptionally organized, methodical professional and is driven to help take our services to the next level regarding accuracy and eliminating risk for revenue loss. They will be charged with being part of helping to developing a complete QA program that not only helps us achieve our mission, but also fosters a culture in which all employees become actively engaged .

At Homecare Homebase, we help home health and hospice organizations across the nation overcome the business and technological challenges that stand in the way of patient care and efficiency. As a Home Health and Hospice Authorization and Verification Quality Assurance Specialist, you will play an essential role in ensuring timely and accurate obtainment of authorization and verification of patient’s insurance benefits, in alignment with the RCS Authorization and Verification Teams policy and procedures and client expectations, so that they can focus their time and energy on delivering high quality patient care.

• Ensuring that policies and procedures related to the insurance authorization process are followed by the authorization specialist through routine auditing of work completed.
• Recommending and implementing new processes to ensure quality and minimize errors in the authorization and verification processes.
• Documenting new and existing processes.
• Training and mentoring authorization specialist to help reduce errors and other members of the quality assurance team.
• Tracking and reporting on errors identified.

Homecare Homebase’s mission is to empower exceptional care among all the clients we serve. The Home Health and Hospice Authorization and Verification Quality Assurance Specialist supports this mission by ensuring our clients are reimbursed for services provided so they can continue to effectively run their businesses.

• Is highly organized and displays a strong attention to detail.
• Has strong communication skills both written and verbal.
• Computer literacy.
• Is familiar with the HCHB R2 Database and has a knowledge of Availity, MyNexus, Ability, and other common clearing houses.
• Has strong decision-making skills.
• Is analytical and data driven.
• Has the ability to track and compile large amounts of data to identify trends in errors and make recommendations on process improvements.
• Is a team player and passionate about what we do and will actively contribute to a positive, collaborative environment.
• Home health/hospice experience is preferred.
• Ability to work any shift between 7am and 7pm and occasional Saturdays & Sundays.

Education requirements:

• This career opportunity requires a high school diploma

At Homecare Homebase, we don't just help our clients succeed; we help our employees succeed. Competitive pay, robust benefits, and professional development opportunities are a few of the many reasons that Homecare Homebase is a great place to build your career. Above all, employees are part of a work environment where we live our CARES values: Care, Act, Respect, Excel, and Smile.

Our Team Members Also Enjoy

Meaningful work. Our employees often tell us that their work gives them a sense of purpose because it makes a difference in the lives of clinicians and homecare staff, as well as the patients they serve.

A CEO who cares. CEO April Anthony has made it her mission to create a culture that cares - one that appreciates and takes good care of its people. As a result, being an employee of HCHB feels like being a member of a big family.

Flexibility. We value work-life balance because we know that happy employees create happy clients. That's why Homecare Homebase offers both full and part-time career opportunities to fit life's unique demands.

A company that gives back. Every year, Homecare Homebase proudly supports numerous charitable fundraising initiatives that align with our mission of empowering exceptional care and helping others in need.

Founded in 1999, Homecare Homebase is dedicated to helping our clients overcome business and technological challenges that stand in the way of clinical outcomes and operational efficiency. We work with home health and hospice organizations to tackle problems big and small. Our services are rooted in systems thinking and reach across the entire organization — from Intake to Discharge — to achieve transformative results.

Sound like a good fit? Please take a moment to apply for this position.