Home Health Intake Coordinator

AdvisaCare • Portage, MI

5d

About The Position

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

The coordinator verifies and documents insurance benefits and authorizations, monitors insurance-related tasks and physician orders, assists intake, discharge planners, referral sources, and billing, and contacts physician offices or patients to obtain or clarify information.

Requirements

• High school diploma or GED.
• At least one year of insurance verification, insurance authorization, or medical billing experience.
• Eligible to work in the United States.
• Available for a weekend referral on-call rotation.

Nice To Haves

• Knowledge of Medicare.
• Experience with insurance websites such as CareCentrix, Availity, or Priority.
• Knowledge of Wellsky/Kinnser Agency Manager.
• Experience coordinating with internal and external parties, including referral sources and internal teams.

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 deductibles, co-pays, co-insurance, 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.
• Continuously monitor insurance-related task flow, 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 necessary.
• 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 complete.
• Assist the billing department with various billing duties.

Benefits

• Medical, dental, and vision benefits.
• 401(k) plan.
• Vacation and sick time.
• Paid holidays.

What This Job Offers

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