Care Management Support Assistant

Location: Remote from Florida; occasional travel to hirify.global offices for training or meetings may be required. A dedicated workspace and internet service with at least 25 Mbps download and 10 Mbps upload are required.

Salary: $38,000–$45,800 per year

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services, with OneHome coordinating post-acute care including home health, infusion therapy, and durable medical equipment.

What you will do

• Review inbound referrals, physician orders, and supporting documentation for completeness and processing.
• Verify benefits coverage and service eligibility under health plan contracts.
• Match referral data against medical terms, diagnoses, procedure codes, and established authorization criteria.
• Request missing information and communicate referral status, determinations, benefits, and prior authorization details to members, providers, and referring entities.
• Coordinate timely delivery of care and services while maintaining detailed interaction and referral records.
• Collaborate with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care teams.

Requirements

• 1–3 years of Home Health or Infusion Pharmacy experience.
• Knowledge of Medicare, Medicaid, commercial insurance, and applicable health plan policies.
• Experience with medical authorizations.
• Knowledge of CPT, HCPCS, ICD-10 codes, insurance contracts, and HIPAA-related confidentiality requirements.
• Excellent customer service and communication skills.
• Florida-based remote work location and successful Florida Level 2 background screening are required.

Nice to have

• Wound care or ostomy supplies experience.
• Microsoft Word, Outlook, and Excel experience.
• Knowledge of medical billing.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Overtime may be required as needed.
• Medical, dental, and vision benefits.
• 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Inclusive and supportive work environment focused on patient care and consumer experience.