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