FERC Coordinator-Home Care (Full-Time, Day Shift)

rrhs

Indiana (PA)

Hybrid

USD 39,000 - 46,000

Full time

2 days ago
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Job summary

Rochester Regional Health in Rochester, NY seeks a FERC Coordinator in Home Care Insurance Coordination to verify insurance eligibility and long-term care coverage for admissions and to obtain required authorizations.

This 40-hour-per-week position may offer a hybrid or remote work option after training, with emphasis on accurate financial communication and coordination with Admissions and Billing teams.

Qualifications

  • Bachelor's degree preferred.
  • 5 years related work experience in a healthcare setting preferred.

Responsibilities

  • Verify insurance eligibility and long-term care coverage for admissions.
  • Obtain required authorizations per payer guidelines.
  • Identify patient responsibility to support future collections.
  • Provide financial information to Admissions Coordinators for final offers to patients/families.
  • Register in RRH Billing System and Long Term Care Billing System.
  • Collaborate with billing on insurance denials and trends.
  • Perform other duties to improve financial performance for long-term care.

Education

Bachelor's degree preferred

Job description

Job Title: FERC Coordinator

Department: Home Care Insurance Coordination

Location: Home Care- 330 Monroe Ave, Rochester, NY

Hours per week: 40

Schedule: Monday-Friday 8:30am-5:00pm- Option for hybrid or remote work once fully trained. *Must live in Rochester, NY area*

Key Responsibilities:
  • Verification of insurance eligibility and long term care coverage for pending Long Term Care admissions
  • Obtains required authorizations for services in accordance with payer guidelines
  • Identifies patient responsibility for pending Long Term Care admissions to facilitate future collections
  • Provides required and completed financial information to Admissions Coordinators for communication back to complete the final offer for pending patients and/or patient family members
  • Performs registration in RRH Billing System along with matching registration in Long Term Care Billing System
  • Works closely with billing department on insurance denials and trends
  • Performs other duties as assigned to improve financial performance for long term care
Minimum Qualifications:
  • Bachelor's degree preferred
  • 5 years related work experience in a healthcare setting preferred
Required Licensure/Certification Skills:
  • None
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver's license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE:

$18.50 - $22.00

CITY:

Rochester

POSTAL CODE:

14607

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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