Reverification Coordinator

Amedisys, Inc. • Baton Rouge, LA

4d

About The Position

Responsible for verifying insurance eligibility and obtaining required authorization for Medicare and Non Medicare patient accounts identified to have possible coverage eligibility changes found through batch eligibility responses, reverification projects, and claim denials.

Requirements

• High school diploma or equivalent
• Post-secondary education or training in business or medical billing/collections.

Nice To Haves

• Two (2+) years' experience in medical office/home health benefit verification.
• Homecare Homebase experience

Responsibilities

• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on batch eligibility responses.
• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on weekly claim denial report.
• Obtains initial authorization when required while maintaining compliance to medical record confidentiality regulations.
• Enters applicable coordination notes in billing and collections system to provide notification to Payor Change Moves Specialist(s) when a payor change is confirmed.
• Communicates directly with other members of Revenue Recovery and branch staff to provide insurance coverage information that may impact patient care, reimbursement, or patient financial liability.
• Assists the department in efficient collection of client and payor information to ensure accuracy.
• Works to reduce write-offs by completing new payor verification and authorization requirements in assigned timeframe.
• Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
• Performs other duties as assigned

Benefits

• Choice of affordable PPO or HSA medical plans
• Paid time off
• Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan
• Up to $500 in wellness rewards for completing activities during the year
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program
• 401(k) with a company match
• Family support with infertility treatment coverage, adoption reimbursement, paid parental and family caregiver leave

What This Job Offers

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