Home Health Intake Coordinator

About the role

AdvisaCare Home Health is seeking a full-time Home Health Intake Coordinator to join our team at our Kalamazoo/Portage location. This role ensures benefit information, initial authorization, and patient liability are obtained before clinical staff begin care. It also includes scheduling clinical staff and tracking orders and documentation from physicians and referral sources, using Wellsky/Kinnser Agency Manager as the EMR platform.

Responsibilities

• Obtain detailed and accurate benefit information using insurance websites or phone for all insurance companies.
• Validate and document payor information such as patient name, date of birth, and other details 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.
• Verify all pre-operative patients prior to scheduled surgery.
• Monitor the task flow screen daily for insurance issues, including verifying Medicare eligibility, completing insurance verification, reviewing eligibility alerts, obtaining initial authorization, re-verifying insurance at recertification, and resumption of care.
• Monitor orders needing to be sent to physicians daily and follow up with physician offices as necessary.
• Assist the intake department, discharge planners, and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for initiating services.
• Contact physician offices or patients for information or to clarify benefits.
• Schedule clinical staff once insurance has been verified and authorization obtained.
• Assist the billing department with various billing duties.

Requirements

• High school diploma or GED.
• Minimum of one (1) year of insurance verification, insurance authorization, or medical billing experience.
• Knowledge of Medicare preferred.
• Experience with insurance websites such as CareCentrix, Availity, or Priority 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.

Benefits

• Medical, dental, and vision benefits.
• 401K Plan.
• Vacation, sick time, and paid holidays.