Eligibility Coordinator

Encompass Health; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Non-Medicare Eligibility Coordinator to verify insurance eligibility and benefits for patients. This fully remote role involves coordinating with branch staff, performing eligibility checks, and ensuring accurate patient data. The ideal candidate has a high school diploma and experience in insurance verifications, with a commitment to a collaborative environment.

Qualifications

• High school diploma required; two years of college preferred.
• Experience with third-party eligibility verification preferred.
• Experience with ICD-9, ICD-10, CPT, HCPCS preferred.

Responsibilities

• Perform eligibility and reverification checks on patient insurance plans.
• Ensure accurate demographic information on referral forms.
• Assist with month-end reporting and logistical resolution related to insurance.

Skills

Eligibility verification

Insurance authorizations

ICD-9 knowledge

ICD-10 knowledge

CPT knowledge

HCPCS knowledge

Education

High school diploma or equivalent

Two years of college or professional school (preferred)

Job description

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.

About the company

As a national leader in integrated healthcare services, Encompass Health (NYSE: EHC) offers both facility‑based and home‑based patient care through its network of inpatient rehabilitation hospitals, home health agencies and hospice agencies.

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