Home Health Eligibility Specialist – Verifications & Authorizations

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

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