Authorizations Specialist

New Horizons • Eugene, OR

1d

About The Position

Hi. We’re New Horizons In-Home Care. We’re proud to be a locally owned, people-first in-home care agency serving Oregon communities for over 30 years. We provide compassionate support for older adults, individuals with disabilities, and medically fragile children—all from the comfort of their home ensuring they can thrive in the place they love most. We’re looking for a seasoned Authorization Specialist to join our growing team. At New Horizons we know that behind every authorization is a real person waiting for help at home. If you are an organized, persistent professional who cares deeply about keeping our clients safe and our caregivers supported, we’d love to meet you. Why People Love Working at New Horizons We’re a people-first company. That means everyone earns a living wage and has access to opportunities for personal and professional growth. We’re proud of our 4.7 Glassdoor rating and earning the Activated Insights 2025 Employer of Choice Award. We also have a beloved employee recognition program where everyday successes are rewarded with fun prizes, plus quarterly social events and an online platform that keeps our community connected, no matter where you work. Your Impact Advocate for care by working closely with State Case Managers to secure the vital hours our clients need to thrive at home. Manage the lifecycle of authorizations so there are no gaps in our clients’ care. Navigate the maze of Medicaid and other Care Portals with a “can do” attitude. Collaborate with our care and scheduling teams to ensure everyone is aligned and all service hours are covered under an authorization. Maintain clear, consistent, and respectful communication with administrative and caregiver staff regarding processes and related inquiries. Celebrate the wins as there is nothing better than getting hours approved on a difficult case!

Requirements

• A friendly professional who can build great rapport with both internal teammates and State Case Managers.
• Minimum two years of experience working with the nuances of authorization cycles in a Medicaid-funded environment.
• Comfortable interpreting Individual Service Plans (ISPs) and ensuring authorized units are accurately tracked and utilized.
• Experience using MMIS and eXPRS for checking eligibility, billing and troubleshooting denied status codes.
• Attention to detail is a must! You’re the type of person who catches the small stuff before it becomes a big problem.

Responsibilities

• Advocate for care by working closely with State Case Managers to secure the vital hours our clients need to thrive at home.
• Manage the lifecycle of authorizations so there are no gaps in our clients’ care.
• Navigate the maze of Medicaid and other Care Portals with a “can do” attitude.
• Collaborate with our care and scheduling teams to ensure everyone is aligned and all service hours are covered under an authorization.
• Maintain clear, consistent, and respectful communication with administrative and caregiver staff regarding processes and related inquiries.
• Celebrate the wins as there is nothing better than getting hours approved on a difficult case!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed