Eligibility Coordinator

Integrity Home Health Care; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

Integrity Home Health Care is seeking a Non-Medicare Eligibility Coordinator to verify eligibility and manage home health benefits based on insurance plans. This fully remote position requires attention to detail and effective communication skills, with responsibilities including eligibility checks and patient coordination for insurance transitions.

Qualifications

• Experience with third-party eligibility verification preferred.
• Knowledge of ICD-9, ICD-10, CPT, HCPCS is preferred.

Responsibilities

• Perform eligibility checks on patient insurance plans for smooth admissions.
• Ensure accuracy of demographic information on referral forms.
• Assist with providing options for in-network agencies if necessary.

Skills

Attention to Detail

Communication

Education

High school diploma or equivalent

Two years of college or professional school

Job description

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Primary Location: Dallas, Texas

Req ID: 2025-131855

Requisition Type: Home Office

Patient Coverage Area: Position is eligible for remote work, as long as employee is within driving distance of an Enhabit branch office.

Compensation: $16-$20 per hour

Apply now

Overview

The Non-Medicare Eligibility Coordinator verifies eligibility and home health benefits based on the insurance plan and provides data input for eligibility and reverification requests. This position will contact patients for updated insurance information and coordinate with branch staff for identified transitions. The Non-Medicare Eligibility coordinator will assist with month-end reporting as well as logistical resolution related to patient insurance, termination of insurance, and plan benefits.

This is a fully remote position but the person hired for this role should reside within driving distance of an Enhabit office.

Hours: Monday-Friday, 7:00am- 4:00pm CST or 9:00am-6:00pm CST.

Responsibilities

• Perform eligibility and reverification checks on patient insurance plans to ensure a smooth admission process for branch
• Ensure all demographic information is accurate on the referral form.
• Provide specific details regarding patient insurance benefits prior to admission.
• Assist with providing two to three in-network agencies if insurance is out of network with Enhabit.
• Perform eligibility check on claims which have been denied for insurance termed; submit payor change or request for authorization.
• Proactively identify who could be switching to Medicare the first day of the following month, pull and process reports as outlined.
  
  

Qualifications

• Must have a high school diploma or equivalent is required. Two years of college or professional school are preferred.
• One year of demonstrated experience with third-party eligibility verification is highly preferred.
• Two years of demonstrated experience in insurance authorizations is preferred.
• At least one year of demonstrated experience with the ICD-9, ICD-10, CPT, HCPCS is preferred.
  
  

Additional Information

Compensation = $18 - $20 per hour

Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

No deadline (Indefinite) - Ongoing Recruitment

Apply now

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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