Eligibility Coordinator

VIA Health Partners; Charlotte (NC); On-site; USD 40,000 - 60,000; Full time

Job summary

VIA Health Partners, a leading hospice and palliative care provider in the Charlotte area, seeks a dedicated Insurance Verification Specialist to support our care team. This role focuses on verifying benefits, obtaining authorizations, and setting up billing processes for hospice patients.

Candidates should have a minimum of 2 years in healthcare billing, knowledge of Medicare/Medicaid and commercial payer policies, and experience with NCTracks or Homecare Homebase is preferred.

Qualifications

• Associates Degree in a related technical discipline or equivalent combination of education and experience.
• Minimum of 2 years in billing, insurance accounting and/or accounts receivable in a healthcare facility.
• Working knowledge of Medicare, Medicaid, Commercial payers, Workers’ Compensation and Medicare Replacement plans.

Responsibilities

• Verify insurance coverage and obtain authorizations through clearinghouses, portals or calls.
• Verify Medicare, Medicaid and commercial payors' eligibility and benefits.
• Complete Hospice Benefit Verification Forms for commercial payors.
• Set up Reimbursor on patient accounts.
• Process Subsidy Assistance Applications.
• Assist with obtaining hospice and palliative authorizations as needed.
• Perform other duties as required.

Skills

Billing & collections

Insurance verification

Healthcare AR

Education

Associates Degree in a related technical discipline

Tools

NCTracks

Homecare Homebase

Job description

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly, we are proud to be a community-based, not-for-profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people-first organization whose funds go to serve our mission.Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.We provide excellent benefits including:Medical, Vision, and Dental plans through BCBS28 days of Paid Time OffExcellent mileage reimbursement rate403b Retirement plan with matchingFocused programs honoring Veteran patientsAssistance with achieving Certified Hospice & Palliative Nurse (CHPN)Best Orientation and Onboarding program you’ve experiencedSeasoned Hospice leaders guiding your career growthPosition Summary: Responsibilities are obtaining hospice and specialist insurance verifications through a clearinghouse, insurance portal, and/or phone call, completing hospice benefit verification form for commercial payors, set-up of Reimbursors on patients’ account, process subsidy assistance applications, and assist with obtaining authorizations, as needed.Essential Duties:Insurance Verification and AuthorizationsVerification of Medicare, Medicaid, & Commercial Payors eligibility and/or benefits through a clearinghouse, insurance portal, and/or phone callComplete Hospice Benefit Verification Form for commercial payorsReimbursor set-up on patients’ accountProcess Subsidy Assistance ApplicationsAssist with obtaining hospice and palliative authorizations as neededOther duties as requiredAssociates Degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.Minimum of 2 years working experience in billing, insurance accounting and/or accounts receivable procedures in a healthcare facility.Working knowledge of Medicare, Medicaid, Commercial payers, Workers’ Compensation and Medicare Replacement plans.Experience with NCTracks preferred, not required.Experience with Homecare Homebase software preferred, not required.