Experienced Eligibility Coordinator

Human Touch Home Health•Falls Church, VA

6d•Onsite

About The Position

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.

Requirements

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
Must be 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
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