07/21/2026
We are hiring!
If you feel led and have the qualifications listed below please apply for the position and send your resume to: [email protected]
Medical Appeals & Authorization Specialist
Location: Bullard, TX (On-Site)
Job Type: Full-Time
About All Home Infusion Inc.
All Home Infusion Inc. is a specialized Home Infusion Therapy and Durable Medical Equipment (DME) provider dedicated to helping patients receive high-quality care in the comfort of their homes. We work closely with physicians, nurses, insurance providers, and caregivers to coordinate safe, effective, and timely treatment.
At All Home Infusion, we believe our patients deserve compassionate service, accurate communication, and dependable care. Our team takes pride in building strong relationships while maintaining the highest standards of quality, compliance, and professionalism.
If you are organized, thrive in a fast-paced healthcare environment, and enjoy solving complex insurance and clinical challenges, we'd love to hear from you.
Position Summary
We are seeking a detail-oriented Medical Appeals & Authorization Specialist to join our growing team in Bullard, Texas. This position plays a vital role in ensuring patients receive the medications, supplies, and medical equipment they need by coordinating insurance authorizations, preparing appeals, communicating with physicians, and maintaining accurate patient records.
The ideal candidate is highly organized, comfortable managing multiple priorities, and possesses strong knowledge of medical terminology, insurance processes, and clinical documentation.
Responsibilities
*Will help our team prepare, submit, and track medical necessity appeals for denied insurance claims.
*Review physician orders and clinical documentation for completeness and accuracy.
*Request and obtain physician orders, signatures, and supporting documentation.
*Obtain and manage prior authorizations with commercial insurance, Medicare, Medicaid, and other payers.
*Verify insurance eligibility and benefits for infusion therapies and durable medical equipment.
*Communicate with physicians' offices, nurses, insurance companies, and patients regarding authorization status and documentation requirements.
*Maintain accurate electronic medical records and documentation.
*Monitor outstanding authorizations and appeals to ensure timely follow-up.
*Order durable medical supplies as needed.
*Monitor inventory levels and coordinate replenishment of patient supplies.
*Assist with reimbursement and billing documentation when necessary.
*Ensure compliance with HIPAA, Medicare, payer guidelines, and company policies.
*Work collaboratively with pharmacists, clinical staff, and customer service teams to provide exceptional patient care.
Qualifications
Required
*High school diploma or equivalent.
**Strong understanding of medical terminology and clinical documentation.
Experience with insurance authorizations, medical appeals, or medical billing.
*Ability to interpret physician orders, clinical notes, laboratory results, and diagnostic reports.
*Excellent organizational and time management skills.
*Strong written and verbal communication skills.
*Proficiency with electronic medical records (EMR) systems.
*Ability to prioritize multiple cases while maintaining exceptional attention to detail.
Preferred
*Experience in Home Infusion Therapy, Specialty Pharmacy, or *Durable Medical Equipment (DME).
*Knowledge of Medicare, Medicaid, and commercial insurance reimbursement.
*Medical billing, coding, or healthcare administration certification.
*Prior experience in a clinical administrative or healthcare coordination role.
What We're Looking For
The ideal candidate is someone who:
*Takes ownership of their work and follows through on commitments.
Enjoys problem-solving and navigating complex insurance requirements.
*Possesses strong negotiation and advocacy skills when working with insurance companies and physicians' offices to obtain approvals, resolve denials, and secure timely authorizations for patient care.
*Is confident communicating professionally and persuasively with providers, insurance representatives, and patients while maintaining positive working relationships.
*Is dependable, organized, and able to work independently while effectively managing multiple priorities.
*Demonstrates compassion while maintaining efficiency, accuracy, and attention to detail.
*Thrives in a collaborative team environment and is committed to delivering exceptional patient care.
Why Join All Home Infusion?
*Monday-Friday schedule
*Stable, growing healthcare organization
*Supportive team environment
*Opportunity to make a meaningful impact in patients' lives
If you're passionate about helping patients receive the care they need while working in a rewarding healthcare environment, we'd love to meet you.
Apply today and become part of the All Home Infusion family.
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