Eligibility Coordinator

What We Offer

• Competitive Full-Time Compensation
• Medical, Dental & Vision Insurance
• Paid Time Off & Paid Holidays
• Aflac
• Monday-Friday Schedule
• Full-Time, In-Office Stability
• Supportive Team Environment
• Professional Growth Opportunities

What You'll Do

• Verify patient insurance eligibility and benefits prior to or upon admission
• Confirm coverage for home health services
• Review Medicare, Medicaid, Medicare Advantage, and commercial insurance benefits
• Identify authorization, referral, deductible, copay, coinsurance, and coverage requirements
• Obtain and document insurance verification information accurately
• Communicate with insurance companies and payer representatives to resolve eligibility questions
• Identify potential coverage issues and communicate them promptly to the appropriate team members
• Assist with obtaining required authorizations and tracking authorization status
• Maintain accurate patient insurance and demographic information
• Coordinate with Intake, Billing, Clinical, and other departments to prevent delays in service
• Follow up on pending eligibility and authorization issues
• Maintain organized and timely documentation within company systems
• Protect patient information and maintain HIPAA compliance

What We're Looking For

• Previous experience with insurance eligibility, benefits verification, medical billing, intake, authorization, or healthcare administration
• Home Health Experience Strongly Preferred
• Understanding of Medicare, Medicaid, and commercial insurance plans
• Ability to read and understand insurance benefits and coverage requirements
• Strong attention to detail and accuracy
• Excellent phone, communication, and follow-up skills
• Ability to manage multiple patients, deadlines, and priorities
• Comfortable working with electronic healthcare systems
• WellSky Experience is a Plus
• Dependable and able to work on-site in our Falls Church office