Eligibility Coordinator

Human Touch Home Health•Falls Church, VA

20h•Onsite

About The Position

Human Touch Home Health is seeking a dependable and detail-oriented Eligibility Coordinator to join our team in Falls Church, Virginia. This is a full-time, in-office position for someone who understands that verifying benefits isn't just paperwork. Accurate eligibility information helps prevent delays, protects reimbursement, and ensures our team has the information needed to move patient care forward. If you're organized, comfortable communicating with insurance companies, and know how to follow through until you get an answer, we want to hear from you.

Requirements

Previous experience with insurance eligibility, benefits verification, medical billing, intake, authorization, or healthcare administration
Understanding of Medicare, Medicaid, and commercial insurance plans
Ability to read and understand insurance benefits and coverage requirements
Strong attention to detail and accuracy
Excellent phone, communication, and follow-up skills
Ability to manage multiple patients, deadlines, and priorities
Comfortable working with electronic healthcare systems
Dependable and able to work on-site in our Falls Church office

Nice To Haves

Home Health Experience Strongly Preferred
WellSky Experience is a Plus

Responsibilities

Verify patient insurance eligibility and benefits prior to or upon admission
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 with insurance companies and payer representatives to resolve eligibility questions
Identify potential coverage issues and communicate them promptly to the appropriate team members
Assist with obtaining required authorizations and tracking authorization status
Maintain accurate patient insurance and demographic information
Coordinate with Intake, Billing, Clinical, and other departments to prevent delays in service
Follow up on pending eligibility and authorization issues
Maintain organized and timely documentation within company systems
Protect patient information and maintain HIPAA compliance