Experienced Eligibility Coordinator
Falls Church, VA - USA
Job Summary
Human Touch Home Health is seeking an experienced Eligibility Coordinator to join our team in Falls Church Virginia.
This is a full-time in-office position for someone who understands insurance verification benefits authorizations and the importance of getting the details right before patient care begins.
Candidates MUST have at least two years of experience in insurance eligibility benefits verification authorizations medical billing or a closely related healthcare administrative role.
If you know how to verify coverage communicate with insurance companies identify potential issues and follow through until you get an answer we want to hear from you.
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
Verify patient insurance eligibility and benefits
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 directly with insurance companies and payer representatives
Assist with obtaining required authorizations and track authorization status
Identify coverage issues before they create delays in care or reimbursement
Maintain accurate patient insurance and demographic information
Coordinate with Intake Billing Clinical and other departments
Follow up on pending eligibility and authorization issues
Maintain accurate and timely documentation
Protect patient information and maintain HIPAA compliance
Minimum of 2 years of relevant healthcare experience REQUIRED
Experience must include insurance eligibility benefits verification prior authorizations medical billing or a closely related function
Understanding of Medicare Medicaid Medicare Advantage and commercial insurance plans
Ability to understand insurance benefits and coverage requirements
Strong attention to detail and accuracy
Excellent communication and follow-up skills
Ability to manage multiple priorities and deadlines
Comfortable communicating directly with insurance companies
Strong computer and data-entry skills
Home Health Experience Strongly Preferred
WellSky Experience is a Plus
Must be dependable and able to work on-site in our Falls Church office
The Eligibility Coordinator plays an important role in making sure patient care starts on the right track.
Is the patient eligible What does the plan cover Is authorization required Is something missing that could delay care or reimbursement
We need someone who knows how to find those answers and doesnt stop at the first roadblock.
Your accuracy and follow-through support our patients clinicians intake team and billing department.
If you have at least two years of relevant healthcare insurance experience and are looking for a full-time in-office opportunity in Falls Church VA we want to hear from you.
Bring your experience attention to detail and follow-through to Human Touch Home Health. Apply Today!
Human Touch Home Health is an Equal Opportunity Employer.
Required Experience:
Senior IC
About Company
A trusted, CMS-certified home health agency with over two decades of experience providing comprehensive home care services for patients in DC, Maryland, Virginia, and Pennsylvania.