Authorization & Eligibility Coordinator

Enhabit Home Health & Hospice•Dallas, TX

15h•$16 - $20•Remote

About The Position

The authorization coordinator is responsible for providing accurate and complete data input for precertification requests, verifying insurance, and obtaining authorization as required by each insurance company. The authorization coordinator works closely with branch staff to ensure adequate coordination and transition. This position is eligible for 100% r emote but the employee must reside in a state where Enhabit currently operates. The right candidate for this position should be able to work 9am-5pm CST.

Requirements

Must have a high school diploma or equivalent.

Nice To Haves

Two years of college or professional school is preferred.
One year of third party eligibility verification experience is preferred.
One year experience in insurance authorizations is preferred.
One year experience with ICD-10, CPT codes, or HCPCS is preferred.

Responsibilities

Provide specific details regarding a patient’s insurance benefits prior to admission
Obtain appropriate authorizations specific to patient’s care
Provide insurance company with all required information within contractual timelines
Verify insurance information and provide specific details of patient benefits in record; include deductible, out-of-pocket, co-pays, co-insurance, and amounts met, as well as in- and out-of-network benefits
Verify secondary insurances if primary insurance is not covered 100%
Assist with in-network agencies if insurance is out-of-network
Verify Medicare eligibility and ensure accuracy of Medicare number in the patient record