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Role Description

Join VitalCaring – Where Your Passion Changes Lives! Are you looking for a career where compassion meets purpose? At VitalCaring, we’re more than a home health and hospice provider—we’re a family that supports, inspires, and uplifts both our patients and our team members.

This is a remote position eligible to those who reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, or Florida.

Essential Functions of an Insurance Verification and Authorization Supervisor:

• Implements and follows established company Standard Operating Procedures (SOP) regarding insurance verification and authorization department.
• Responsible for employee training and mentoring, reviewing work for accuracy and efficiency, monitoring team performance.
• As subject matter expert for team, answers questions and provides daily support and guidance as needed.
• Hosts and documents monthly 1:1’s with direct reports to discuss performance, communicate issues, foster productive relationships, and maintain open communication with each team member.
• Develops and communicates goals and objectives, documents and hosts annual performance reviews for each team member.
• Provides opportunities for professional growth and development.
• Perform regular audits of records for accuracy, completeness, and security.
• Collaborate with clinical and administrative staff to support department success.
• Identifies potential Bad Debt and reports to the Revenue Cycle Manager, Revenue Cycle Director, and Vice President, Revenue Cycle in a timely fashion.
• Generate reports and statistics related to insurance verification and authorization activities, compliance, and productivity.
• Works with internal and external personnel to approve and clear billing per company policy and regulatory guidelines.
• Monitors workflows throughout the day to ensure timely processing.
• Maintains effective, professional communication with internal and external staff including communication of frequent chart errors to the department and operational leaders.
• Serves as a subject matter expert and can perform tasks the department is responsible for.
• Maintains compliance with internal policies, procedures, and regulations, including federal and state laws.
• Performs all other duties as assigned.

Qualifications

• Computer skills required; knowledge of MS Office, Excel, Outlook, Teams, and similar software preferred.
• Strong understanding of healthcare documentation and medical terminology, especially related to home health.
• Knowledge of HIPAA, CMS, and state/federal regulations related to insurance and prior authorization.
• Proficiency in EHR system (HCHB) preferred.
• Knowledge of payor portals and clearinghouses such as Palmetto, Waystar, and Availity strongly preferred.
• Excellent interpersonal and organizational skills.
• Strong leadership and communication skills.
• High attention to detail and data accuracy.
• Ability to manage multiple tasks and meet deadlines.

Requirements

• Three years in insurance verification or prior authorization in home health.
• One year supervisory or leadership experience preferred.
• Experience working with remote teams is preferred.
• Reliable transportation and valid and current auto liability insurance.

Benefits

• Medical, Dental & Vision.
• Pharmacy Benefits.
• Virtual & Mental Health Support.
• Flexible Spending Accounts (FSAs) & Health Savings Account (HSA).
• Supplemental Health & Life Insurance.
• 401(k) with Company Match.
• Employee Referral Program.
• Prepaid Legal Plans.
• Identity Theft Protection.
• Paid Time Off.
• Pet Insurance.
• Tuition & Continuing Education Reimbursement.