Intake Medicare Coordinator

St. Croix Hospice•Mendota Heights, MN

4d•$26 - $28•Onsite

About The Position

The Intake Medicare Coordinator verifies Medicare benefits, manages certification periods, and coordinates patient transfers, including collaboration with other hospice agencies to ensure accurate benefit determinations and timely documentation. The role partners with clinical, sales, intake, and billing teams to provide complete payer information, maintain regulatory compliance, and support daily referral workflows. It requires attention to detail, problem-solving skills, and the ability to manage high-volume work across multiple systems while identifying process improvements. The coordinator completes Medicare eligibility workflows for 100 or more referrals daily, verifies certification periods, maintains transfer documentation, and supports accurate billing and reimbursement. The role also assists with other payer verification and broader Intake Department operations, including referral entry, evaluation scheduling, and accepting referrals by telephone. The position is full-time and located at the Administration office in Mendota Heights, Minnesota.

Requirements

At least 3 years of experience in insurance verification, eligibility determination, or medical billing, including Medicare, Medicaid, Commercial, and VA benefits.
At least 2 years of experience with accounting, reimbursement, and billing procedures and processes.
Ability to pass a DHS background study.
Strong verbal and written communication skills.
Strong analytical, organizational, and problem-solving abilities.
Proficiency with Microsoft Office applications, including Word and Excel.
Ability to manage 100 or more Medicare eligibility verifications daily while maintaining a high degree of accuracy.
Ability to prioritize competing demands and meet deadlines in a fast-paced environment.
Ability to work independently and collaborate effectively with a team.
Ability to interact professionally and tactfully with patients, families, referral sources, coworkers, and community partners.
Demonstrated customer-service and critical-thinking skills.
Ability to support team objectives and complete Medicare verifications within required timeframes.

Nice To Haves

Associate degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field.
Experience working in healthcare, hospice, home health, or a related healthcare environment.
Experience verifying hospice Medicare certification periods within a hospice organization.
Knowledge of hospice Medicare regulations, benefit periods, and reimbursement methodologies.
Experience with Electronic Medical Records (EMR) systems.
Working knowledge of office equipment, including fax machines, printers, photocopiers, and telephone systems.

Responsibilities

Complete daily Medicare eligibility verification workflows for 100 or more referrals.
Coordinate internal and external hospice transfers to support continuity of care and accurate benefit-period determinations.
Review, validate, and correct information identified through the eSolutions reporting process.
Collaborate with hospice agencies and clinical, sales, intake, and billing staff to obtain accurate benefit and eligibility information.
Verify Medicare certification periods and comply with Medicare regulations and documentation requirements.
Obtain, review, and maintain transfer documentation supporting accurate billing and reimbursement.
Use multiple technology platforms and information systems to manage workflow and maintain data integrity.
Identify process-improvement opportunities and contribute to operational efficiency initiatives.
Assist with Medicaid, Commercial, VA, and other payer verification as needed.
Support Intake Department operations, including referral entry, scheduling evaluations, and accepting referrals by telephone.
Work with team members to process referrals and prepare them for evaluation within established timelines.
Participate in ongoing training and process-improvement initiatives.
Perform other duties as assigned.