Eligibility Coordinator

VIA Health Partners; Charlotte (NC); On-site; USD 52,000 - 65,000; Full time

Benefits offered by this job

Medical, Vision, Dental

PTO 28 days

Mileage reimbursement

403b retirement plan with matching

CHPN certification assistance

Orientation & onboarding

Career growth guidance

Job summary

VIA Health Partners seeks an Insurance Verification Specialist for our South Charlotte Office to verify eligibility and benefits, process authorizations, and assist with subsidy applications. This full-time role supports hospice and palliative care services and coordinates with payors to ensure timely authorizations.

The position requires an Associate degree in a related field or equivalent experience, plus at least 3 years in insurance verification within a medical practice.

Qualifications

• Associates Degree in a related technical discipline, or the equivalent combination of education, certifications, training, or work experience.
• Minimum of 3 years working experience in insurance verification and obtaining authorization in a medical practice.
• Working knowledge of Medicare, Medicaid, Commercial payers, Workers' Compensation and Medicare Replacement plans.
• Experience with NCTracks preferred, not required.
• Experience with eCW software preferred, not required.

Responsibilities

• Verify Medicare, Medicaid, and Commercial Payors eligibility and/or benefits through various channels.
• Complete Hospice Benefit Verification Form for commercial payors.
• Set-up Reimbursor on patients' accounts.
• Process Subsidy Assistance Applications.
• Assist with obtaining hospice and palliative authorizations as needed.

Skills

Insurance verification

Authorization processing

Subsidy assistance

Medicare/Medicaid knowledge

Payer communications

Education

Associates degree in related technical discipline

Tools

NCTracks

eCW software

Job description

Job DetailsJob Location: South Charlotte Office - Charlotte, NC 28226Position Type: Full TimeEducation Level: 2 Year DegreeTravel Percentage: NoneJob Shift: DayJob Category: Finance

VIA Health Partnersis 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 organizationwhose funds go to serve our mission.

Due to our significant growth, we are looking for amazing new staff who share these same values.

We provide excellent benefits including:

• Medical, Vision, and Dental plans through BCBS
• 28 days of Paid Time Off
• Excellent mileage reimbursement rate
• 403b Retirement plan with matching
• Focused programs honoring Veteran patients
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
• Best Orientation and Onboarding program you've experienced
• Seasoned Hospice leaders guiding your career growth

Position 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 Authorizations

• Verification of Medicare, Medicaid, & Commercial Payors eligibility and/or benefits through a clearinghouse, insurance portal, and/or phone call
• Complete Hospice Benefit Verification Form for commercial payors
• Reimbursor set-up on patients' account
• Process Subsidy Assistance Applications
• Assist with obtaining hospice and palliative authorizations as needed

Other duties as required

Qualifications

• Associates Degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
• Minimum of 3 years working experience in insurance verification and obtaining authorization in a medical practice.
• Working knowledge of Medicare, Medicaid, Commercial payers, Workers' Compensation and Medicare Replacement plans.
• Experience with NCTracks preferred, not required.
• Experience with eCW software preferred, not required.