Eligibility Coordinator, Home Health

Wheeler Staffing Partners; Albuquerque (NM); Hybrid; USD 25,000 - 26,000; Full time

Job summary

Wheeler Staffing Partners seeks an Eligibility Coordinator – Home Health for a fully remote contract opportunity supporting New Mexico. You will verify patient insurance eligibility, review coverage, and coordinate with payors to ensure timely home health services.

The role requires about 2 years in healthcare eligibility verification or benefits coordination, with New Mexico Medicaid knowledge and home health experience. Works remotely within NM with HIPAA-compliant documentation.

Qualifications

• 2 years of healthcare eligibility verification or benefits coordination experience.
• Must reside in New Mexico and have home health experience.
• Direct experience with New Mexico Medicaid eligibility and benefits verification.
• Experience with Medicaid, commercial insurance, and Medicare Advantage payors.
• Proficiency with EMR systems and Microsoft Office; HIPAA aware.

Responsibilities

• Verify patient insurance eligibility and benefits before start and continuation of home health services.
• Review coverage, benefit limitations, authorization requirements, and patient financial responsibility.
• Verify New Mexico Medicaid eligibility and identify coverage changes or inactive policies.
• Confirm Medicare Advantage, commercial insurance, and VA benefits when applicable.
• Communicate with insurance payors to verify eligibility, clarify benefits, and resolve issues.
• Enter, update, and maintain patient insurance information in home health EMR systems.
• Collaborate with admissions, intake, clinical, and branch teams to ensure timely verification of coverage.
• Monitor changes in patient coverage and follow up on discrepancies or eligibility concerns.
• Maintain documentation of insurance verification activities within patient records.
• Assist with resolving insurance issues that delay admissions or ongoing services.
• Provide administrative support to the home health team during the contract assignment.
• Maintain HIPAA compliance and confidentiality.

Skills

Eligibility verification

Healthcare experience

Payor communications

EMR systems

HIPAA compliance

Remote work

Tools

Homecare Homebase

Job description

Eligibility Coordinator – Home Health Location: Remote | New Mexico Residents Only Employment Type: Contract | Temporary Work Arrangement: 100% Remote Schedule: Monday–Friday | 8:00 AM–5:00 PM MST (Potential Flexibility: 7:30 AM–4:30 PM MST) Pay Rate: $18.00–$19.00 per hour

Position Overview

Wheeler Staffing Partners is seeking an experienced Eligibility Coordinator – Home Health for a fully remote contract opportunity supporting home health operations in New Mexico. This position is responsible for verifying patient insurance eligibility and benefits, confirming coverage requirements, and coordinating with insurance payors to ensure patients can begin and continue receiving home health services without unnecessary delays. The ideal candidate has approximately 2 years of healthcare eligibility verification or benefits coordination experience, with direct home health experience and knowledge of New Mexico Medicaid requirements. Experience with home health electronic medical record (EMR) systems and Veterans Affairs (VA) benefits is highly desirable. Candidates must reside in New Mexico and have previous home health experience to be considered.

Key Responsibilities

• Verify patient insurance eligibility and benefits before the start and continuation of home health services.
• Review insurance coverage, benefit limitations, authorization requirements, and patient financial responsibility.
• Verify New Mexico Medicaid eligibility and identify coverage changes, discrepancies, or inactive policies.
• Confirm Medicare Advantage, commercial insurance, and VA benefits when applicable.
• Communicate directly with insurance payors to verify eligibility, clarify benefits, and resolve coverage issues.
• Enter, update, and maintain accurate patient insurance and eligibility information within home health EMR systems.
• Collaborate with admissions, intake, clinical, and branch teams to ensure timely verification of patient coverage.
• Monitor changes in patient insurance coverage and follow up on discrepancies, incomplete information, or eligibility concerns.
• Maintain detailed and accurate documentation of insurance verification activities within patient records.
• Assist with resolving insurance-related issues that could delay patient admissions or interrupt ongoing home health services.
• Provide administrative and operational support to the home health team during the contract assignment.
• Maintain patient confidentiality and ensure compliance with HIPAA regulations and established healthcare policies.

Required Qualifications

• Previous experience working in a home health setting is required.
• Must currently reside in New Mexico.
• Direct experience with New Mexico Medicaid eligibility and benefits verification is required.
• Approximately 2 years of experience in healthcare insurance verification, eligibility coordination, or benefits administration.
• Experience communicating with insurance payors, including Medicaid, commercial insurance, and Medicare Advantage plans.
• Strong understanding of healthcare insurance eligibility, benefits verification, coverage requirements, and payor processes.
• Ability to research and resolve insurance discrepancies, inactive coverage, and eligibility issues.
• Strong attention to detail and accuracy when managing patient insurance information and documentation.
• Excellent written and verbal communication skills.
• Strong organizational, multitasking, and time-management abilities.
• Ability to work independently, prioritize responsibilities, and maintain productivity in a fully remote environment.
• Proficiency with healthcare EMR systems, Microsoft Office applications, and electronic documentation.

Preferred Qualifications

• Experience using home health EMR platforms, particularly Homecare Homebase (HCHB) or similar systems.
• Experience verifying Veterans Affairs (VA) benefits and coverage requirements.
• Familiarity with New Mexico Medicaid managed care plans and commercial insurance payors.
• Experience resolving Medicaid eligibility discrepancies, coverage denials, and insurance-related admission delays.
• Knowledge of home health admissions, patient intake processes, and insurance authorization requirements.
• Previous experience supporting a high-volume home health eligibility or intake department.

Preferred Insurance and Payor Knowledge

• New Mexico Medicaid
• Commercial health insurance plans
• Medicare Advantage plans
• Veterans Affairs (VA) benefits
• Managed care organizations and third-party payor networks

Why Work With Wheeler Staffing Partners?

At Wheeler Staffing Partners, we connect talented professionals with meaningful career opportunities across the country. Our team is committed to providing personalized support, transparent communication, and a streamlined hiring experience. Whether you're seeking contract flexibility or your next career opportunity, we're here to help you succeed.