Authorization Coordinator

Encompass Health; Dallas (TX); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking an Authorization and Eligibility Coordinator to manage insurance coverage verification and authorizations. This fully remote role requires a keen attention to detail and the ability to work closely with patients and branch staff to ensure seamless admission processes. The ideal candidate will have experience in third-party eligibility verification and insurance authorizations, along with knowledge of coding systems like ICD-10 and CPT. Join a company that values a healthy work-life balance and offers competitive benefits, including generous paid time off and flexible spending accounts.

Benefits

30 days Paid Time Off

Continuing Education Opportunities

Employee Scholarship Program

Matching 401(k) Plan

Comprehensive Medical Insurance

Dental Insurance

Vision Insurance

Flexible Spending Accounts

Incentivized Bonus Plans

Qualifications

• High school diploma or equivalent required.
• Two years of college or professional training preferred.

Responsibilities

• Provide detailed information regarding a patient’s insurance benefits prior to admission.
• Obtain appropriate authorizations specific to the patient’s care.
• Verify insurance details and document benefits.

Skills

Insurance Verification

Authorization Processes

ICD-10 Coding

CPT Coding

HCPCS Coding

Customer Service

Education

High School Diploma

Two Years of College

Job description

Overview

The Authorization and Eligibility Coordinator is responsible for accurately identifying insurance coverage, verifying eligibility and benefits, and obtaining necessary authorizations based on each insurance company's requirements and the patient's plan coverage. The role involves assessing benefits to ensure proper reimbursement, contacting patients for updated insurance information, and coordinating with branch staff to facilitate efficient admission and recertification processes. The coordinator acts as a resource for referral sources and works closely with branch staff to ensure timely initiation and provision of care.

This is a fully remote position; however, the candidate should reside within driving distance of an Enhabit office.

Hours

Monday-Friday, 7:00am-4:00pm CST or 10:00am-7:00pm CST.

Responsibilities

• Provide detailed information regarding a patient’s insurance benefits prior to admission.
• Obtain appropriate authorizations specific to the patient’s care.
• Submit required information to insurance companies within contractual timelines.
• Verify insurance details and document benefits, including deductibles, out-of-pocket costs, co-pays, co-insurance, and benefit limits.
• Verify secondary insurance if primary coverage is not comprehensive.
• Assist with in-network or out-of-network insurance issues.
• Verify Medicare eligibility and ensure correct Medicare number in the patient record.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Two years of college or professional training preferred.
• One year of experience in third-party eligibility verification preferred.
• One year of experience with insurance authorizations preferred.
• Experience with ICD-10, CPT codes, or HCPCS preferred.

Additional Information

Enhabit offers competitive benefits supporting a healthy lifestyle, including:

• 30 days Paid Time Off (including holidays)
• Continuing education opportunities
• Employee scholarship program
• Matching 401(k) plan
• Comprehensive medical, dental, and vision insurance for full-time employees
• Supplemental insurance options
• Flexible spending accounts
• Health insurance coverage for all employees
• Electronic medical records and mobile devices for clinicians
• Incentivized bonus plans

Enhabit Home Health & Hospice is an equal opportunity employer committed to a diverse and inclusive work environment. We celebrate the differences that make our community unique.