Eligibility and Authorization Coordinator – Home Health
About The Position
At GrandCare Health Services, we are a leader in post-surgical rehab. We deliver expert compassionate care in the comfort of your home. GrandCare proudly services Southern California with a commitment to dignity, respect, and patient well-being. This is primarily orthopedic rehab provided in our patients’ homes, NOT your typical home health patient population. GrandCare offers you the opportunity to join a close-knit team, focused on patient outcomes, patient satisfaction, and professional growth. Clinicians who work with GrandCare can specialize in orthopedics, neuro, and pain to truly see their patients improve. By giving our clinicians the tools, support, and independence to do what they do best, they are able to meet their professional goals and maintain the highest levels of employee satisfaction. Please look at our Yelp reviews to see the difference we are making in communities throughout Southern California!
Requirements
- At least one year of experience in insurance eligibility and authorizations, and/or intake, preferably in home health care operations.
- Information systems knowledge required.
- Knowledge of corporate business management and governmental regulations
- Demonstrates good communication skills and public relations skills.
- Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.
Nice To Haves
- preferably in home health care operations
Responsibilities
- Verifying Insurance Eligibility; renewing and confirming accurate payer sources for each referral received.
- Answers Insurance and Intake inquiries and channels them appropriately.
- Manages authorization process: including the monitoring of incoming and outbound phone calls from/to providers regarding status of requests, new requests, office referrals and eligibility.
- Obtains and provides clinical information as needed for securing authorizations according to policy.
- Communicate effectively with field and scheduling staff regarding authorization status.
- Provides back up support to Intake Coordinator and Scheduling Coordinator.
- Protects the confidentiality of patient and organization information.
- Maintains working knowledge of state, federal and CHAP documentation regulations and serves as a resource for appropriate company staff.
Benefits
- Competitive compensation
- Health, dental, vision, life, and disability insurance
- 401(k) plan with generous company match
- Critical illness benefit
- Paid time off
- Employee assistance program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
