Home Healthcare Scheduler

Human Touch Home Health Care • Washington, DC

4d • Onsite

About The Position

Human Touch Home Health Care is seeking a Home Healthcare Scheduler to support the day-to-day operations of its home care office. The organization provides skilled and non-skilled services to homebound clients, helping seniors, people with disabilities, and people with medical needs maintain their health, independence, and quality of life at home.

The Scheduler coordinates referrals and intake, insurance verification and authorizations, client scheduling and clinician assignments, medical records, and administrative functions. The role requires strong organization, attention to detail, excellent communication, and the ability to work effectively in a fast-paced environment. The employee may perform other related duties assigned by a supervisor, and duties may be adjusted to meet organizational and industry needs.

Requirements

• High school diploma or GED required.
• Minimum of two years of relevant experience.
• Strong understanding of HMO, Medicaid, and Medicare payors and reimbursement processes.
• Knowledge of medical terminology and healthcare documentation.
• Strong computer skills, including Microsoft Windows, Microsoft Office, Word, and Excel.
• Excellent verbal and written communication skills.
• Strong interpersonal, organizational, and customer service skills.
• Ability to accurately manage confidential patient and medical information.
• Ability to multitask, prioritize responsibilities, and meet deadlines in a fast-paced environment.
• Strong attention to detail and commitment to accuracy.
• Ability to work independently with minimal supervision and effectively as part of a team.
• Ability to work effectively with healthcare clinicians, patients, insurance representatives, hospitals, and other healthcare partners.
• Self-directed and dependable, with the ability to handle sensitive information professionally and discreetly.

Nice To Haves

• At least one year of experience in home health, home care, healthcare administration, public health, or a related healthcare setting.
• Previous experience with intake, authorizations, insurance verification, scheduling, medical records, or healthcare administration.
• High school diploma or GED is listed as preferred as well as required.

Responsibilities

• Perform intake, authorization, insurance verification, eligibility, scheduling, and related administrative duties.
• Answer client inquiries, receive referrals, and help coordinate home care services.
• Obtain and accurately document patient insurance, demographic, and referral information.
• Identify and verify insurance coverage for home health care services.
• Obtain and document prior authorizations from insurance providers, and maintain accurate authorization records and documentation.
• Communicate with insurance companies, hospitals, medical personnel, clients, and other referral sources about coverage, authorizations, admissions, and services.
• Maintain communication with hospital and insurance personnel and provide information about organizational services and coverage requirements.
• Enter new patients into the scheduling system and update patient information as it changes.
• Schedule clinicians for ongoing home health care services and ensure appropriate staffing for newly referred clients.
• Help manage clients through staffing, scheduling, operations, and administrative support.
• Communicate with clinicians about admissions, hospitalizations, discharges, authorization expirations, and other client occurrences.
• Triage unscheduled and emergency situations in coordination with the Authorization Department and appropriate clinical personnel.
• Prepare and distribute denial letters and other communications to medical personnel, with appropriate documentation and follow-up instructions.
• Track, collect, and maintain statistical data about referrals and submit reports as required.
• Sort, process, scan, and accurately enter incoming reports and documents into appropriate systems and databases.
• Maintain the accuracy, completeness, confidentiality, and security of medical records and health information.
• Respond to employee and client questions and information requests in a timely, professional, and knowledgeable manner.
• Prepare emails, reports, correspondence, and other written communications as needed.
• Provide clerical and administrative support to the business office and home care operations.
• Assist with payroll data entry and processing for approximately 23 clinicians, following established company policies and procedures.
• Attend meetings and participate on committees as required.
• Provide excellent customer service and communicate professionally, respectfully, and courteously with clients, employees, clinicians, and external partners.
• Perform other duties as assigned to support organizational goals and objectives.

Benefits

• Competitive salary commensurate with experience.
• Opportunities for professional development and career advancement.
• Positive and supportive work environment.
• Contribution to improving healthcare access and quality in the community.
• Comprehensive benefits package including health insurance, vision, dental, paid time off, sick leave, and retirement plans.

What This Job Offers

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