The posting
Pay Range: $20.00 - $25.00 an Hour
Coverage Area: California
The Payor Verification/Authorization Specialist works under the direction of the Corporate Billing Manager and is responsible for the verification of insurance and maintenance of all authorizations for hospice and hospice board and room patients. This position verifies insurance, obtains authorizations and re-authorizations as required by payors, enters patient demographic, insurance and authorization information into the computer system, communicates with other departments regarding status of referrals and notifies patients/families regarding coverage and payment responsibilities.
What You'll Get in Return (Full-time Perks & Benefits):
- Tuition Reimbursement – We invest in your continued growth
- Paid Time Off & Holidays – Because your well-being matters
- Comprehensive Health Benefits – Medical, Dental, Vision, Life Insurance, Disability
- 401(k) & HSA – Plan for your future with confidence
- Mileage Reimbursement – For applicable travel and visits
- Advanced Training Programs – Elevate your skills, expand your impact
- A Mission-Driven Culture – Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care
Our Culture Our culture is cultivated using the following values:
- Integrity: We are honest and professional.
- Trust: We count on each other.
- Excellence: We strive to always do our best and look for ways to improve and excel.
- Accountability: We accept responsibility for our actions, attitudes, and mistakes.
- Mutual Respect: We treat others the way we want to be treated.
On An Average Day You Will: (includes, but not limited to)
- Coordinate new patient admissions by gathering, validating, and entering intake and referral information
- Verify insurance coverage, Medicare, Medicaid, and room and board eligibility requirements
- Initiate and maintain hospice and room and board authorizations
- Submit required admission documentation, including Medicare Notice of Election and room and board notices
- Audit hospice admissions to ensure accuracy, completeness, and compliance
- Maintain current payer authorizations and verify ongoing patient eligibility
- Communicate and collaborate with Hospice Liaisons, Hospice Transition Specialists, and location teams to support timely admissions
- Ensure accurate data entry and maintain patient records in accordance with company policies and HIPAA requirements
- Review admission documentation for completeness and resolve missing or inaccurate information
- Follow established procedures to support efficient and compliant admission processes
- Escalate incomplete, inaccurate, or non-funded admissions to leadership as appropriate
- Perform other duties and special projects as assigned
What You'll Bring to The Team: [UPDATE REQUIREMENT BASED ON STATE REGS]
- Must have three (3) years of experience with Medicare, Medicaid, and commercial insurance; hospice experience preferred
- Strong written, verbal, and customer service communication skills
- Proficiency with computer applications and healthcare billing systems
- Strong organizational, analytical, and problem-solving skills
- Ability to manage multiple priorities in a fast-paced environment
- Ability to effectively work with internal and external customers, including challenging situations
- Willingness to maintain current knowledge of billing, reimbursement, and payer requirements
- Occasional travel may be required
- Flexible work schedule and ability to adapt to business needs
Join a Team that embraces the reverence of life!
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit www.bristolhospice.com and follow us on LinkedIn.
EEOC Statement
Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
