Hospice Insurance Verification & Authorization Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Acquire comprehensive and precise benefit information utilizing payer portals, phone calls, or fax communications.

• Verify and document payer details within the EMR system.

• Record deductibles, co-pays, co-insurance, and out-of-pocket maximums in patient records.

• Oversee insurance-related workflow tasks, including Medicare eligibility, insurance verification, eligibility alerts, authorizations, reauthorizations, and resumption of care.

• Examine entitlement verification reports and investigate any ambiguous responses.

• Analyze changes in insurance and updates to funding sources.

• Conduct monthly re-verification of Medicaid patients to track HMO status.

• Perform monthly re-verification of current patient insurance for any changes or alternative agencies.

• Reach out to patients, hospitals, physician offices, and insurance providers to gather or clarify necessary information.

• Support scheduling teams with funding source issues.

• Facilitate the transfer of agency/provider-of-choice forms in collaboration with clinical staff and other agencies.

• Secure initial, prior, ongoing, and reauthorization approvals through phone, fax, or payer portals.

• Maintain the authorization tab within HCHB.

• Provide clinical information as requested by insurance companies.

• Inform internal clinical staff regarding authorization approvals and denials.

• Assist billing teams with insurance verification and authorization discrepancies that may hinder claim submissions.

• Develop a comprehensive understanding of payer portals.

• Adhere to company Core Values and Core Competencies.

• Execute other duties as assigned.

⛳️ Requirements

• Experience with Homecare Homebase (HCHB) is a must.

• Candidates must reside in the Eastern or Central Time Zone.

• Willingness to work every other Saturday is required.

• An associate degree or a combination of experience and business coursework is preferred.

• At least one year of prior experience in insurance verification, authorization, or medical billing is necessary.

• Proficiency in Microsoft Office Suite is essential.

• Familiarity with Medicare, Medicaid, and third-party insurance and authorization requirements is important.

• Knowledge of various insurance websites is required.

• Familiarity with HomeCare Homebase is preferred.

• Must maintain a professional license, certificate, or registration in good standing, as applicable.

• Availability during weekends, holidays, and after hours based on business needs is required.

• Strong verbal and written communication skills are essential.

• Ability to work both independently and collaboratively within a multidisciplinary team is necessary.

• Capacity to think critically and act independently when addressing benefit discrepancies is important.

• Successful completion of a drug screening prior to employment is mandatory.

• Must be legally authorized to work in the United States.

🏝️ Benefits

• Medical benefits including health, vision, and dental insurance.

• 401K and pension plan with a 4% employer contribution.

• 15 days of paid time off (PTO).

• Company-funded life insurance and disability benefits.

• Pre-tax Flexible Spending Account (FSA) and Health Savings Account (HSA) options.

• Generous PTO packages.

• 50% tuition discounts for select courses offered by Purdue and Kaplan.

• Opportunities for career advancement.

• Remote work arrangements available.

• Competitive salary.