Home Care Providers of Texas

Role Description The Home Health Authorization Specialist is responsible solely for obtaining, managing, and maintaining prior authorizations for home health services. The specialist ensures timely authorization approvals to prevent delays in patient care and reimbursement. Key Responsibilities - Obtain prior authorizations for home health services from Medicare, Medicare Advantage plans, and commercial payers. - Submit authorization requests through payer portals, fax, phone, or electronic systems as required. - Ensure accuracy and completeness of clinical documentation required for authorization submission. - Track authorization status and follow up with payers to ensure timely determinations. - Communicate authorization approvals, denials, and pending statuses to intake, clinical, and billing teams. - Maintain detailed documentation of authorization numbers, approved services, visit counts, and effective dates. - Monitor authorization expirations and request extensions or reauthorizations as needed. - Escalate authorization delays or denials according to established workflows. - Maintain compliance with payer guidelines, state regulations, and company policies. - Meet productivity and turnaround time standards for authorization submissions and follow-ups. Qualifications - High school diploma or equivalent required. - Proficiency with EMR systems and payer portals. - Strong attention to detail and organizational skills. - Prior experience with high-volume authorization environments. - Remote authorization experience. - Strong knowledge of prior authorization processes for Medicare Advantage, Medicare, and commercial plans. Skills & Competencies - Excellent time management and follow-up skills. - Strong written and verbal communication. - Ability to prioritize multiple authorization requests under tight deadlines. - Analytical problem-solving skills related to payer requirements and denials. - Ability to work independently with minimal supervision.

Now Hiring: Home Health Coder (RN or Certified Coder) Location: Remote Full Time | Monday through Friday | Day Schedule New Day Healthcare is seeking a detail-oriented Home Health Coder to join our team. This role is critical in ensuring accurate coding, OASIS review, and documentation that supports compliant, high quality patient care. If you have strong clinical knowledge, understand home health coding guidelines, and enjoy working in a focused, behind the scenes role, this is a great opportunity to make an impact. Pay Range Competitive and based on experience What You Will Do Review and code home health documentation in accordance with ICD 10 and payer guidelines Complete accurate OASIS review and ensure appropriate coding and sequencing Validate documentation to support coding accuracy and reimbursement Identify and resolve discrepancies in clinical documentation Collaborate with clinicians to clarify documentation and ensure compliance Maintain productivity and meet coding turnaround timelines Stay current on coding updates, regulations, and best practices What We Are Looking For Active RN license or coding certification required (HCS D, COS C, or equivalent preferred) Home Health coding experience required Strong knowledge of ICD 10 coding guidelines Experience with OASIS review and documentation standards High attention to detail and accuracy Ability to work independently and manage deadlines Strong communication and problem-solving skills Experience with EMR systems preferred What We Offer Multiple Major Medical plans to choose from Dental and Vision coverage Spousal and Family insurance options 401k options Paid Time Off Paid training and continuing education Employee recognition programs Supportive, mission driven team culture

Now Hiring: Home Health Clinical Reviewer (RN/LPN) Location: Remote Full Time | Monday through Friday | Day Schedule New Day Healthcare is seeking a detail-oriented Home Health Clinical Reviewer to join our team. This role is essential in ensuring clinical documentation is accurate, compliant, and supports high quality patient care. If you have a strong clinical background and enjoy working behind the scenes to support quality, compliance, and outcomes, this is a great opportunity to step into a role that directly impacts patient care and agency success. Pay Range Competitive and based on experience What You Will Do Review clinical documentation for accuracy, completeness, and compliance Ensure documentation meets state, federal, and payer requirements Audit charts and identify areas for improvement or correction Collaborate with clinicians to resolve documentation issues and provide guidance Support quality assurance and performance improvement initiatives Assist with OASIS review and documentation standards as applicable Maintain organized records and meet deadlines for chart review and submission Communicate effectively with clinical and administrative teams What We Are Looking For Active RN or LPN license required Home Health experience required Experience with clinical documentation review or QA preferred Strong knowledge of home health regulations and compliance standards Attention to detail and ability to work independently Strong communication and problem solving skills Comfort working in a fast paced, deadline driven environment Experience with EMR systems and OASIS a plus What We Offer Multiple Major Medical plans to choose from Dental and Vision coverage Spousal and Family insurance options 401k options Paid Time Off Paid training and ongoing education Employee recognition programs Supportive, team oriented culture

Now Hiring: Home Health Quality Assurance Reviewer (RN/LPN) Location: Remote Full Time | Monday through Friday | Day Schedule New Day Healthcare is looking for a detail driven Home Health Quality Assurance Reviewer to support our team. This role focuses on ensuring clinical documentation meets compliance standards while helping drive quality patient outcomes across our home health services. If you have a strong clinical background and enjoy auditing, improving processes, and working behind the scenes to elevate care quality, this is a great opportunity to make a meaningful impact. Pay Range Competitive and based on experience What You Will Do Review clinical documentation for accuracy, completeness, and compliance Ensure charts meet state, federal, and payer requirements Conduct chart audits and identify trends, gaps, and areas for improvement Collaborate with clinicians and leadership to resolve documentation issues Support quality assurance and performance improvement initiatives Assist with OASIS review and ensure proper documentation standards Maintain timely and organized review processes to meet deadlines Provide feedback and education to clinical staff as needed What We Are Looking For Active RN or LPN license required Home Health experience required Quality assurance or chart review experience preferred Strong knowledge of home health regulations and compliance standards High attention to detail and strong organizational skills Ability to work independently and manage multiple priorities Strong communication and problem solving skills Experience with EMR systems and OASIS preferred What We Offer Multiple Major Medical plans to choose from Dental and Vision coverage Spousal and Family insurance options 401k options Paid Time Off Paid training and ongoing education Employee recognition programs Supportive, mission driven team culture

• Review clinical documentation for accuracy, completeness, and compliance • Ensure documentation meets state, federal, and payer requirements • Audit charts and identify areas for improvement or correction • Collaborate with clinicians to resolve documentation issues and provide guidance • Support quality assurance and performance improvement initiatives • Assist with OASIS review and documentation standards as applicable • Maintain organized records and meet deadlines for chart review and submission • Communicate effectively with clinical and administrative teams

• Review and code home health documentation in accordance with ICD 10 and payer guidelines • Complete accurate OASIS review and ensure appropriate coding and sequencing • Validate documentation to support coding accuracy and reimbursement • Identify and resolve discrepancies in clinical documentation • Collaborate with clinicians to clarify documentation and ensure compliance • Maintain productivity and meet coding turnaround timelines • Stay current on coding updates, regulations, and best practices

• Review clinical documentation for accuracy, completeness, and compliance • Ensure charts meet state, federal, and payer requirements • Conduct chart audits and identify trends, gaps, and areas for improvement • Collaborate with clinicians and leadership to resolve documentation issues • Support quality assurance and performance improvement initiatives • Assist with OASIS review and ensure proper documentation standards • Maintain timely and organized review processes to meet deadlines • Provide feedback and education to clinical staff as needed

Now Hiring: Home Health Administrative Support Location: Remote Full Time | Monday through Friday | Day Schedule New Day Healthcare is seeking a highly organized Home Health Administrative Support team member to join our team. This role is the backbone of daily operations, supporting clinicians, leadership, and patients by keeping everything running smoothly behind the scenes. If you are detail oriented, tech savvy, and thrive in a fast-paced environment where your work truly matters, this is a great opportunity to grow your career in healthcare. Pay Range $17 to $20 per hour based on experience What You Will Do Provide day to day administrative support to the home health team Manage incoming calls, messages, and general office communication Assist with intake processes, documentation, and data entry Maintain accurate and organized patient and employee records Support scheduling and coordination efforts as needed Ensure documentation is complete and meets company standards Assist with reports, tracking, and office organization Work closely with clinical and leadership teams to support operations What We Are Looking For Previous administrative or office experience required Healthcare or home health experience preferred Strong computer skills including Microsoft Office and data entry systems Highly organized with strong attention to detail Ability to multitask and adapt in a fast-paced environment Professional communication and customer service skills Positive attitude and team-oriented mindset What We Offer Multiple Major Medical plans to choose from Dental and Vision coverage Spousal and Family insurance options 401k options Paid Time Off Paid training and development Employee recognition programs Supportive, team-oriented culture

Position Title: Intake Coordinator Report to: Intake Supervisor Position Details: The intake coordinator is a self-motivated, task oriented and able to operate in a busy and fast paced environment. A Team player that has the willingness to learn new processes and tasks, in a customer service world. This position is responsible for working with the intake team and individually reviewing, processing and inputting pt referrals into our provided software. Customer service, communication and multi-tasking are a big part of this position, as you may be required to make phone calls for updates or request to patients or referral sources. Key responsibilities: - Receive incoming referrals for processing. - Gather all admissions paperwork and entering it digitally. - Verifying medical insurance coverage and benefits for each patient. - Processing each referral in its entirety. - Answering phone and email inquiries. - Addressing any patient and referral source questions complaints or concerns. - Performing clerical work, such as copying, and faxing as needed. - Preparing and maintaining patient charts. - Complying with the regulations and policies of the facility. - Managing portals with incoming referrals for potential patients. - Any other intake job assignments given. - Be able to multitask when processing referrals, answering phones and responding emails. Minimum requirements: The requirements listed below must be documented and/or observed. - High school degree or GED - At least one (1) year experience in a home health intake - Prior experience working in a fast-paced office environment. - Comfortable working with Microsoft Office products. - Reliable transportation. - Available to work overtime if required. - Any other jobs you are assigned.

Position Title: Intake Coordinator Report to: Intake Supervisor Position Details: The intake coordinator is a self-motivated, task oriented and able to operate in a busy and fast paced environment. A Team player that has the willingness to learn new processes and tasks, in a customer service world. This position is responsible for working with the intake team and individually reviewing, processing and inputting pt referrals into our provided software. Customer service, communication and multi-tasking are a big part of this position, as you may be required to make phone calls for updates or request to patients or referral sources. Key responsibilities: - Receive incoming referrals for processing. - Gather all admissions paperwork and entering it digitally. - Verifying medical insurance coverage and benefits for each patient. - Processing each referral in its entirety. - Answering phone and email inquiries. - Addressing any patient and referral source questions complaints or concerns. - Performing clerical work, such as copying, and faxing as needed. - Preparing and maintaining patient charts. - Complying with the regulations and policies of the facility. - Managing portals with incoming referrals for potential patients. - Any other intake job assignments given. - Be able to multitask when processing referrals, answering phones and responding emails. Minimum requirements: The requirements listed below must be documented and/or observed. - High school degree or GED - At least one (1) year experience in a home health intake - Prior experience working in a fast-paced office environment. - Comfortable working with Microsoft Office products. - Reliable transportation. - Available to work overtime if required. - Any other jobs you are assigned.