Experienced Eligibility Coordinator

Humantouchhealth; Falls Church (VA); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Full-time compensation

Medical/Dental/Vision

PTO & Holidays

Aflac

Weekday schedule

In-office stability

Team environment

Growth opportunities

Job summary

Human Touch Home Health is seeking an experienced Eligibility Coordinator for our Falls Church, VA office. This full-time, in-office role focuses on insurance eligibility, benefits verification, and authorizations to ensure timely patient care.

The position requires a minimum of two years in a related healthcare administrative role, with experience in Medicare/Medicaid and commercial plans. You will collaborate with Intake, Billing, Clinical, and other teams, maintaining HIPAA-compliant

Qualifications

• Candidates must have at least two years of experience in insurance eligibility, benefits verification, authorizations, medical billing, or related healthcare admin roles.
• Experience with Medicare, Medicaid, Medicare Advantage, and commercial plans.
• Strong attention to detail and accuracy.
• Ability to communicate with insurance companies and follow through.

Responsibilities

• Verify patient insurance eligibility and benefits.
• Confirm coverage for home health services.
• Review Medicare, Medicaid, Medicare Advantage, and commercial insurance benefits.
• Identify authorization, referral, deductible, copay, coinsurance, and coverage requirements.
• Obtain and document insurance verification information accurately.
• Communicate with insurance companies and payer representatives.
• Assist with obtaining required authorizations and track status.
• Identify coverage issues before delays in care or reimbursement.
• Maintain accurate patient insurance and demographic information.
• Coordinate with Intake, Billing, Clinical, and other departments.
• Follow up on pending eligibility and authorization issues.
• Maintain accurate and timely documentation.
• Protect patient information and HIPAA compliance.

Skills

Insurance eligibility

Benefits verification

Prior authorizations

Medical billing

Attention to detail

Communication with payers

HIPAA compliance

Tools

WellSky

Job description

Insurance Experience Required. Detail Matters. Follow-Through Matters.

Human Touch Home Health is seeking an experienced Eligibility Coordinator to join our team in Falls Church, Virginia.

This is a full-time, in-office position for someone who understands insurance verification, benefits, authorizations, and the importance of getting the details right before patient care begins.

Candidates MUST have at least two years of experience in insurance eligibility, benefits verification, authorizations, medical billing, or a closely related healthcare administrative role.

If you know how to verify coverage, communicate with insurance companies, identify potential issues, and follow through until you get an answer, we want to hear from you.

What We Offer

• Competitive Full-Time Compensation

• Medical, Dental & Vision Insurance

• Paid Time Off & Paid Holidays

• Aflac

• Monday-Friday Schedule

• Full-Time, In-Office Stability

• Supportive Team Environment

• Professional Growth Opportunities

What You'll Do

• Verify patient insurance eligibility and benefits

• Confirm coverage for home health services

• Review Medicare, Medicaid, Medicare Advantage, and commercial insurance benefits

• Identify authorization, referral, deductible, copay, coinsurance, and coverage requirements

• Obtain and document insurance verification information accurately

• Communicate directly with insurance companies and payer representatives

• Assist with obtaining required authorizations and track authorization status

• Identify coverage issues before they create delays in care or reimbursement

• Maintain accurate patient insurance and demographic information

• Coordinate with Intake, Billing, Clinical, and other departments

• Follow up on pending eligibility and authorization issues

• Maintain accurate and timely documentation

• Protect patient information and maintain HIPAA compliance

What We're Looking For

• Minimum of 2 years of relevant healthcare experience REQUIRED

• Experience must include insurance eligibility, benefits verification, prior authorizations, medical billing, or a closely related function

• Understanding of Medicare, Medicaid, Medicare Advantage, and commercial insurance plans

• Ability to understand insurance benefits and coverage requirements

• Strong attention to detail and accuracy

• Excellent communication and follow-up skills

• Ability to manage multiple priorities and deadlines

• Comfortable communicating directly with insurance companies

• Strong computer and data-entry skills

• Home Health Experience Strongly Preferred

• WellSky Experience is a Plus

• Must be dependable and able to work on-site in our Falls Church office

Why Human Touch?

The Eligibility Coordinator plays an important role in making sure patient care starts on the right track.

Is the patient eligible? What does the plan cover? Is authorization required? Is something missing that could delay care or reimbursement?

We need someone who knows how to find those answers and doesn't stop at the first roadblock.

Your accuracy and follow-through support our patients, clinicians, intake team, and billing department.

Ready to Join Our Team?

If you have at least two years of relevant healthcare insurance experience and are looking for a full-time, in-office opportunity in Falls Church, VA, we want to hear from you.

Human Touch Home Health is an Equal Opportunity Employer.