Home Health Intake Coordinator

AdvisaCare • Portage, MI

2d

About The Position

AdvisaCare Home Health is seeking a full-time Home Health Intake Coordinator for its Kalamazoo/Portage location. The coordinator ensures benefit information, initial authorization, and patient liability are obtained before clinical staff begin care. The role also involves scheduling clinical staff and tracking orders and other pertinent documentation from physicians and referral sources. The EMR platform used is Wellsky/Kinnser Agency Manager.

Requirements

• High school diploma or GED.
• At least one year of experience in insurance verification, insurance authorization, or medical billing.
• Eligible to work in the United States.
• Available for a weekend referral on-call rotation.
• Experience coordinating with internal and external parties, including referral sources and internal teams.

Nice To Haves

• Knowledge of Medicare.
• Experience with insurance websites such as CareCentrix, Availity, and Priority.
• Knowledge of Wellsky/Kinnser Agency Manager.

Responsibilities

• Obtain detailed and accurate benefit information from insurance companies by website or phone.
• Validate and document payer information, including patient name and date of birth, in the Wellsky/Kinnser system.
• Document benefit details such as deductibles, copayments, coinsurance, and out-of-pocket maximums in patient charts.
• Obtain start-of-care authorization for managed care cases that do not require clinical documentation.
• Verify all pre-operative patients before scheduled surgery.
• Monitor the task flow screen for insurance-related issues, including Medicare eligibility, insurance verification, eligibility alerts, initial authorization, and insurance re-verification at recertification and resumption of care.
• Monitor orders that need to be sent to physicians and follow up with physician offices as needed.
• Assist the intake department, discharge planners, and referral sources with contracted insurance issues and patient placement, including obtaining documentation needed to initiate services.
• Contact physician offices or patients to obtain information or clarify benefits.
• Schedule clinical staff after insurance verification and authorization are obtained.
• Assist the billing department with various billing duties.

Benefits

• Medical, dental, and vision benefits.
• 401K plan.
• Vacation and sick time.
• Paid holidays.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED