Intake & Authorization Specialist at Crossbridge Hospice, LLC

At Crossbridge Hospice, we believe a job is a good fit when the role aligns with your personal values, reflects your interests, utilizes your strengths, and provides opportunities for development and growth.

At Crossbridge Hospice, we are committed to cultivating a workplace where people feel empowered to thrive. By matching individuals with roles that resonate with their purpose and aspirations, we foster a community driven by authenticity, innovation, and shared growth. We believe that when people bring their whole selves to work, remarkable things happen—for our teams, our patients and their families, and the communities we serve.

The role

The Intake & Authorization Specialist serves as a vital liaison between local site leadership and payors. This role is responsible for coordinating and processing all new referrals, incoming transfers, and both initial and ongoing authorizations. Key responsibilities include verifying insurance coverage, accurately entering patient demographic and billing information, and submitting insurance authorization requests promptly and precisely in accordance with payor requirements.

Key Competencies

• Customer-Centric Mindset: Demonstrates a strong commitment to delivering exceptional service and support to patients and internal stakeholders.
• Organizational & Prioritization Skills: Effectively manages multiple tasks and deadlines in a fast-paced environment.
• Problem Solving: Identifies issues proactively and implements practical solutions.
• Solution-Focused Approach: Maintains a forward-thinking attitude, focusing on outcomes and continuous improvement.
  
  

Duties & Responsibilities

• Verifies and accurately interprets patient benefits via online portals or telephone
• Timely and accurately enters all demographic, billing and authorization information in the electronic medical record system
• Completes all necessary tasks required to submit, re-submit or finalize pending authorizations within payor guideline; subsequently updates billing system with relevant changes to authorization details
• Complete all intake and authorization related workflow tasks as required
• Tracks and follows up on all re-authorizations in same manner as initial authorization
• Responds to all email and phone requests in a timely and professional manner
• Serve as the subject matter expert for insurance authorization and verification
• Complete and submit Medicaid enrollment forms for Hospice Medicaid patients
• Maintain high-level confidentiality to sensitive data, HIPAA, etc.
  
  

Required Skills

• Familiar with multi-state insurance verification and authorization requirements. Ability to research and maintain requirements when needed.
• Ability to interpret insurance and clinical records and related documentation for purpose of obtaining authorizations
• Organizational and time management skills, as evidence by capacity to prioritize multiple tasks
• Clear understanding in Microsoft Excel and Outlook
• Ability to work in fast paced environment
• Strong accountability to team environment
• Work independently and exercise sound judgement in interactions with physician, payors, and patients and their families if required
  
  

Education/Training Required

• High School Diploma
• 3 years of experience related to healthcare registration, intake, insurance verification and/or billing
  
  

Education/Training Preferred

• Additional coursework in healthcare administration, billing or medical terminology
• Knowledge of clinical terminology and coding
• General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement
  
  

Internal Contacts

• Office Leadership
• Billing
  
  

External Contacts

• Insurance Companies
  
  

Supervision Provided By This Tile

• Authorization Manager