Home Health Eligibility Specialist - Remote/Hybrid

Aveanna Healthcare, LLC; Atlanta (GA); Hybrid; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with company match

Paid time off and holidays

Tuition reimbursement

CEUs for nurses

Employee Assistance Program

Employee Stock Purchase Plan

Job summary

Aveanna Healthcare, LLC is seeking an Eligibility Specialist to verify patient coverage and eligibility for home healthcare services. You will contact insurance companies, confirm benefits, copays, deductibles, and service limitations, and support accurate billing while adhering to HIPAA and company policies.

This remote hybrid role requires you to work from home with occasional in-person trainings or meetings.

Qualifications

• High school diploma and at least 2 years of related experience.
• Strong computer skills (Word, Excel, PowerPoint) and data entry accuracy.
• Experience with insurance verification and HIPAA compliance is preferred.

Responsibilities

• Contact insurance companies to verify patient eligibility and coverage for home health services.
• Enter patient and insurance information into the company database accurately.
• Confirm copays, deductibles, and service limitations for each plan.
• Assess eligibility based on medical diagnosis and policy requirements.
• Initiate prior authorization requests when needed and support billing communications.
• Explain verification process to patients and assist with questions about coverage.
• Provide accurate information to the billing department to aid claims submission.
• Adhere to HIPAA guidelines to protect patient privacy.

Skills

Communication skills

Computer skills

Education

High school diploma

Bachelor's degree preferred

Tools

HCHB experience

Job description

Aveanna Healthcare, LLC is seeking an Eligibility Specialist to verify patient coverage and eligibility for home healthcare services. You will contact insurance companies, confirm benefits, copays, deductibles, and service limitations, and support accurate billing while adhering to HIPAA and company policies.

This remote hybrid role requires you to work from home with occasional in-person trainings or meetings.