Authorization & Eligibility Coordinator

VIA Health Partners•Charlotte, NC

2d•Onsite

About The Position

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly, we are proud to be a community-based, not-for-profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people-first organization whose funds go to serve our mission. Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story. We provide excellent benefits including: Medical, Vision, and Dental plans through BCBS 28 days of Paid Time Off Excellent mileage reimbursement rate 403b Retirement plan with matching Focused programs honoring Veteran patients Assistance with achieving Certified Hospice & Palliative Nurse (CHPN) Best Orientation and Onboarding program you’ve experienced Seasoned Hospice leaders guiding your career growth Summary Responsible for obtaining hospice and specialist authorizations for Medicaid & commercial payors through NCTracks, insurance portal, and/or phone call, faxing requested documentation, managing re-authorizations to ensure there is no lapse in authorizations.

Requirements

Associate’s Degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
Minimum 3 years’ experience obtaining authorization & insurance verification (Ancillary & Professional services preferred)
Minimum 1 years’ experience with NCTracks, Managed Medicaid, & Commercial Insurance web portals
Excellent communication skills – Employee will need to speak with provider offices & insurance companies

Responsibilities

Obtain authorization for hospice & palliative patients for NC & SC Medicaid, Managed Medicaid, & commercial payors
Submit requested forms and/or medical records per payor’s requirement
Monitor workflow to submit timely reauthorization requests
Complete Financial worksheet to determine subsidy qualification.
Process Self-Pay/Charity R&B workflow and set-up.
Assist with verification of Medicare, Medicaid, Managed Medicaid, & Commercial Payors eligibility and/or benefits through a clearinghouse, insurance portal, and/or phone call as needed
May perform other duties as required