Eligibility & Pre-Billing Coordinator (34247)

The Care Team Home Health & Hospice•Farmington Hills, MI

1d•Onsite

About The Position

Bring your billing expertise to a mission that matters. At The Care Team Hospice, great care starts with strong support behind the scenes. We are looking for an organized and detail-oriented Eligibility & Pre-Billing Coordinator to help ensure hospice and palliative care services are authorized, eligible, and fully collectible before billing is generated. If you have experience navigating insurance portals, authorizations, NOA/NOE submissions, and EMR documentation—and want to apply those skills in a purpose-driven healthcare environment—this role is for you. What You’ll Do As the Eligibility & Pre-Billing Coordinator, you will: Determine patient eligibility for insurance benefits prior to start of care Run and review eligibility information through payer portals and update demographics and payor set-up accordingly Obtain and coordinate pre-certifications and authorizations for commercial, Medicaid, and other authorization-driven payors Submit required notices including NOA, NOE, and other regulatory payer communications Validate and submit clinical data such as OASIS and HIS assessments, ensuring timely acceptance Track denied visits, episodes, and room-and-board eligibility, including managing lock-ins and lock-outs Maintain accurate logs of denials and authorization activity Collaborate with clinical teams to update notes with key eligibility details Reverify eligibility periodically to support ongoing compliance Run reports and follow Standard Operating Procedures to ensure revenue is collectible Your work directly supports the Billing Team and helps protect continuity of care by preventing delays in reimbursement. What You Bring You’re someone who thrives on accuracy, process, and problem-solving. You understand that strong revenue cycle coordination is essential to keeping hospice services available for patients and families.

Requirements

High school diploma or equivalent
At least 1 year of experience in billing, authorizations, or eligibility coordination
Strong knowledge of insurance verification processes
Ability to work efficiently with payer portals and EMR systems
Excellent attention to detail and time-management skills
Valid driver’s license
Ability to pass a criminal background check and Motor Vehicle Record (MVR) check
Completion of required health statement acknowledging ability to perform job duties

Nice To Haves

Hospice and Physician Services/Palliative pre-billing experience is strongly preferred
Experience with Medicare, Medicaid, and commercial insurance verification
Familiarity with Homecare Homebase (HCHB) or similar healthcare EMR platforms
Understanding of out-of-network benefit approvals and self-pay authorization set-up

Responsibilities

Determine patient eligibility for insurance benefits prior to start of care
Run and review eligibility information through payer portals and update demographics and payor set-up accordingly
Obtain and coordinate pre-certifications and authorizations for commercial, Medicaid, and other authorization-driven payors
Submit required notices including NOA, NOE, and other regulatory payer communications
Validate and submit clinical data such as OASIS and HIS assessments, ensuring timely acceptance
Track denied visits, episodes, and room-and-board eligibility, including managing lock-ins and lock-outs
Maintain accurate logs of denials and authorization activity
Collaborate with clinical teams to update notes with key eligibility details
Reverify eligibility periodically to support ongoing compliance
Run reports and follow Standard Operating Procedures to ensure revenue is collectible