Medical Home Health Authorization Specialist | HR & Administ

As an Administrative and HR Specialist, I manage a wide range of internal operations that support both employees and management. My responsibilities include handling payroll, maintaining employee records, coordinating recruitment and onboarding, and ensuring compliance with company policies. I focus on creating efficient systems that improve communication, strengthen employee engagement, and maintain a positive work environment built on trust and organization.

As a Medical Home Health Authorization Specialist, I serve as the key link between healthcare agencies, insurance providers, and patients. My main responsibility is to ensure that all home health services are properly authorized in a timely manner, allowing patients to receive the care they need without interruption. I also perform insurance eligibility verification to confirm coverage, benefits, and authorization requirements prior to service initiation. I manage both inbound and outbound calls with insurance representatives and clinical teams to verify requirements, submit necessary documentation, and follow up on approvals. My work is driven by accuracy, compliance, and clear communication across all stakeholders.

As a Customer Service Representative, I provide front-line support to customers through calls, emails, and chats, ensuring that every interaction is handled with professionalism and care. I help resolve inquiries, process transactions, and promote products or services while maintaining accuracy and empathy. My ability to communicate clearly, multitask effectively, and stay composed under pressure allows me to deliver excellent service and maintain customer satisfaction.