Home Health Intake Coordinator – U.S. Healthcare Experience

We are seeking an experienced Home Health Intake Coordinator to join our team supporting a U.S.-based Home Health Agency. This full-time, onsite role is located in Model Town, Lahore, with working hours aligned to U.S. business hours (6:30 PM – 3:30 AM). The ideal candidate will have hands-on experience in U.S. home health intake processes, including insurance verification, prior authorizations, referral processing, and Start of Care (SOC) coordination. The position requires managing multiple time-sensitive referrals while maintaining compliance with HIPAA and agency standards.

Key Responsibilities
- Manage home health referrals from initial receipt through patient admission.
- Accurately review and enter patient and referral information into EMR/EHR systems.
- Verify insurance eligibility, benefits, and home health coverage details.
- Submit prior authorizations, monitor follow-ups, handle approvals, denials, and appeals.
- Liaise with insurance companies to clarify authorization requirements and status updates.
- Review physician orders, referral documentation, and clinical records for completeness and accuracy.
- Follow up with physicians and referral sources to obtain missing orders, signatures, or documentation.
- Coordinate timely Start of Care (SOC) and assign clinicians accordingly.
- Communicate effectively with patients, caregivers, physicians, referral sources, insurance providers, and clinical teams.
- Track active referrals, pending authorizations, and admission timelines to ensure smooth operations.
- Maintain precise documentation while adhering to HIPAA and agency compliance policies.
- Proactively escalate any authorization, documentation, or scheduling issues that could delay patient admission.

Required Qualifications
- Minimum of 2 years of direct experience in U.S. home health intake and admissions.
- Proven expertise in insurance verification and prior authorization processes.
- Strong understanding of Medicare, Medicaid, Medicare Advantage, and commercial insurance protocols.
- Familiarity with home health referrals, SOC procedures, physician orders, and documentation requirements.
- Experience working with EMR/EHR or specialized home health software platforms.
- Excellent written and verbal communication skills in English.
- Strong attention to detail with the ability to manage multiple, time-sensitive referrals simultaneously.
- Professional communication skills for interacting with U.S.-based healthcare providers, patients, insurance companies, and clinical teams.

Preferred Qualifications
- Experience handling prior authorization denials and appeals.
- Knowledge of Medicare Advantage and commercial payer authorization processes.
- Proficiency with home health EMR/EHR platforms.
- Experience coordinating with multidisciplinary teams including RN, PT, OT, ST, MSW, and HHA disciplines.

This role requires reliable onsite attendance in Model Town, Lahore, with a schedule of 5 to 6 days per week based on operational needs. Candidates must be able to commute or plan to relocate before starting work. If you have the required experience with U.S. home health intake and prior authorizations and are comfortable working during U.S. business hours, we encourage you to apply.