We are seeking an experienced and detail-oriented Authorization & Billing Specialist to support a home care agency. This role is responsible for managing insurance authorizations, supporting pre-billing and compliance processes, and assisting with payroll-related inquiries from field staff.
The adecuado candidate has experience working with insurance companies, understands home care authorization processes, and is comfortable managing follow-ups and resolving discrepancies.

Key Responsibilities• Manage new, renewed, and updated home care authorizations and maintain accurate records in HHAeXchange.
• Follow up with insurance companies and MLTCs regarding pending, missing, incorrect, or denied authorizations.
• Monitor authorization expirations and request continuation of care as needed.
• Review pre-billing issues and help resolve authorization, service-hour, and EVV-related discrepancies.
• Support POC and EVV compliance and communicate with Home Health Aides when corrections are needed.




• Respond to payroll-related inquiries, including pay, PTO, rates, paystubs, W-2s, and W-4s.
• Maintain accurate documentation and coordinate with internal departments regarding authorization, billing, and payroll matters.

Qualifications• experience with insurance authorizations, medical billing, or home care operations is a big plus.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and follow up consistently on pending cases.
• Comfortable making and receiving frequent calls with insurance companies and field staff.
• Working knowledge of Microsoft Office and Google Workspace.
• Experience with Viventium is a plus.
• English required; Spanish strongly preferred. Russian is a plus.

Schedule:Monday–Friday from 9am to 5pm (according to NY time)

Thank you

📌 Medical Authorization specialist (México)
🏢 Technical Support Team
📍 México