Eligibility & Authorization Specialist - Home Health

UnitedHealth Group; Baton Rouge (LA); On-site; USD 22,000 - 31,000; Full time

Job summary

UnitedHealth Group is seeking a Verification Authorization Coordinator to verify patient eligibility/benefits and obtain required authorizations for home care/hospice services. You will support departments by ensuring accurate, timely authorization processes and data entry in the EMR system.

The role requires high school completion and 2+ years in medical office or home health benefit verification or billing, with knowledge of insurance carriers' guidelines and billing terminology.

Qualifications

• Requires 2+ years of experience in medical office/home health benefit verification or billing.
• Demonstrated knowledge of commercial insurance carriers' verification, authorization, and reimbursement guidelines.
• Familiarity with insurance billing and terminology.

Responsibilities

• Review referral information for accuracy in EMR system.
• Obtain authorizations from payors while maintaining confidentiality regulations.
• Obtain authorization from private insurance and other payors via telephone, fax, or online systems.

Skills

Medical billing

Insurance knowledge

Billing terminology

Education

High school diploma or equivalent

Post-secondary education or training in medical billing/collections

Job description

UnitedHealth Group is seeking a Verification Authorization Coordinator to verify patient eligibility/benefits and obtain required authorizations for home care/hospice services. You will support departments by ensuring accurate, timely authorization processes and data entry in the EMR system.

The role requires high school completion and 2+ years in medical office or home health benefit verification or billing, with knowledge of insurance carriers' guidelines and billing terminology.