Home Health Intake Coordinator

Essential Duties And Responsibilities

• Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies
• Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system
• Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient's chart
• Obtain start of care authorization for managed care cases not requiring clinical documentation
• Verification of all pre-operative patients prior to scheduled surgery
• Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care
• Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary
• Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services
• Responsible for contacting physician offices or patients for information or to clarify benefit
• Scheduling clinical staff once insurance has been verified/ authorization obtained
• Assist billing department with various billing duties

Requirements

• Knowledge of Medicare preferred
• Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred
• Knowledge of Wellsky/Kinnser Agency Manager is preferred
• Experience coordinating with others both internally and externally, including referral sources and internal teams
• Eligible to work in the United States
• Available for weekend referral on-call rotation

Qualifications

• High school diploma or GED
• Minimum of one (1) year insurance verification, insurance authorization or medical billing experience

Benefits

We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.