Authorization Monitoring and Tracking Specialist

2 days ago

Glendale, CA, United States All Care Home Health Services Full time
About the Job

Position Summary:

The Authorization Monitoring and Tracking Specialist is responsible for managing and overseeing all payer authorization processes to ensure timely approval and continuity of patient care. This position plays a vital role in coordinating with care coordinators, payers, and clinical teams to track, follow up, and record all initial and additional authorizations accurately and efficiently.

Key Responsibilities:
  • Review new referrals & additional visit requests daily, log into the Authorization Tracker.
  • Monitor payer portals (e.g., Kaiser, Carelon, other insurance); follow up if no response in 48 hours.
  • Notify care coordinators on approvals/denials with authorization, dates, visit counts, and conditions.
  • Enter approvals into the back-office/EMR; attach letters/screenshots; ensure billing/scheduling visibility.
  • Flag expiring authorizations (7-10 days out); compile weekly summary for DPCS.
  • Escalate after 5 business days without response or for repeated denials/urgent cases.
  • Maintain organized, audit-ready records (letters, emails, date-stamped trackers).
Qualifications:
  • Experience in Home Health or Hospice setting (required).
  • Strong knowledge of payer portals (Kaiser, Carelon, and other insurance).
  • Excellent attention to detail and organizational skills.
  • Proficiency with Excel, EMR/Back Office systems, and email communication.
  • Strong communication skills (verbal and written).
  • Ability to manage multiple authorizations and deadlines in a fast-paced environment.
Preferred:
  • Prior experience as an Authorization Coordinator, Intake Coordinator, or Care Coordination Assistant in home health or healthcare setting.
  • Familiarity with CMS and payer authorization guidelines.
Benefits:
  • Competitive pay.
  • Health, dental, and vision insurance.
  • Paid time off (PTO), paid sick days and holidays.
  • Opportunities for growth within the agency.
  • Supportive and team-oriented work environment.


To Apply

Send your resume and cover letter to this posting with the subject line:

"Authorization Monitoring and Tracking Specialist - [Your Name]"

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