Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions:

• Obtains home health and hospice authorizations and retroactive authorizations as needed.
• Communicates with providers, clinical staff and caregivers to obtain information required for authorization approval.
• Verifies eligibility of members, determines benefit coverage and communicates deductible to patient.
• Gathers clinical documentation needed from case management and other team members to obtain continued authorization.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.