Job Description

The Intake?&?Authorization Team Lead

supervises a team that handles all incoming referrals, insurance verification, and prior?authorization work for a home?health agency. The role balances hands?on processing with people leadership--driving daily workflow, ensuring regulatory compliance, and coaching staff so that every qualified patient is admitted quickly and cleanly.

RESPONSIBILITIES:

Team Leadership & Workflow Management

Oversee day?to?day operations of the intake desk, set work queues, assign cases, and monitor turnaround?time KPIs. Train, mentor and performance?manage intake/authorization coordinators; provide real?time coaching and annual reviews. Escalate staffing or workflow issues to the OM/VP and recommend process improvements.

Referral Intake

Receive referrals via phone, fax, e?referral portals and EMR; log and triage each case in the agency's system within two hours of receipt. Confirm demographic and clinical data, schedule start?of?care visits, and hand off to clinical teams.

Insurance Verification & Authorizations

Verify Medicare, Medicaid, managed?care and commercial benefits; determine home?bound status and episode coverage limits. Secure initial and ongoing authorizations; track renewal dates, submit documentation, and follow up on payer portals Partner with Revenue?Cycle staff to resolve denials or authorization lapses.

Regulatory?&?Documentation Compliance

Ensure every admission meets federal, state and accrediting?body (e.g., CHAP) standards; guard HIPAA privacy. Maintain accurate, complete electronic records, including signed physician orders and payer correspondence.

Customer & Stakeholder Communication

Serve as liaison to hospital case managers, physicians, branch clinicians and patients/families; provide status updates and education on coverage and out?of?pocket costs. Resolve complaints professionally and escalate complex cases appropriately.
Job Type: Full-time

Pay: ₹30,000.00 - ₹50,000.00 per month

Benefits:

Food provided Health insurance Provident Fund
Work Location: In person