Home Health Intake Coordinator

AdvisaCare; Wisconsin; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical/dental/vision benefits

401K Plan

Vacation/sick time and paid holidays

Job summary

AdvisaCare Home Health is seeking a Home Health Intake Coordinator to join our Kalamazoo/Portage location. This role includes obtaining benefit information, initial authorization, and patient liability before care begins, as well as scheduling clinical staff and tracking orders from physicians and referral sources.

The position requires experience with Wellsky/Kinnser Agency Manager, familiarity with Medicare processes, and ability to coordinate with multiple teams.

Qualifications

• High school diploma or GED.
• Minimum 1 year of insurance verification, authorization, or medical billing experience.
• Knowledge of Medicare preferred.
• Experience with insurance portals (CareCentrix, Availity, Priority).
• Eligible to work in the United States.
• Weekend referral on-call rotation availability.

Responsibilities

• Obtain benefit information and patient liability prior to care.
• Verify and document payor information in Wellsky/Kinnser.
• Document deductibles, co-pays, co-insurance, and out-of-pocket max.
• Obtain start of care authorization for managed care cases.
• Verify Medicare eligibility and insurance throughout care.
• Schedule clinical staff after verification and authorization.
• Assist billing with various duties.
• Coordinate with referral sources and physician offices as needed.

Skills

Insurance verification

Insurance authorization

Medical billing

Scheduling

Communication

Education

High school diploma or GED

Tools

Wellsky/Kinnser Agency Manager

CareCentrix

Availity

Priority

Job description

AdvisaCare Home Health is currently accepting resumes for a full-time Home Health Intake Coordinator to join our team at our Kalamazoo/Portage l ocation! The Home Health Intake Coordinator is responsible for ensuring that benefit information, initial authorization and patient liability are obtained prior to the clinical staff starting care. This position also includes scheduling of clinical staff and tracking orders and other pertinent documentation from physicians/ referral sources. Utilization of Wellsky/Kinnser Agency Manager as EMR platform.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies.
• Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system.
• Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient's chart.
• Obtain start of care authorization for managed care cases not requiring clinical documentation.
• Verification of all pre-operative patients prior to scheduled surgery.
• Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.
• Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.
• Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services.
• Responsible for contacting physician offices or patients for information or to clarify benefit.
• Scheduling clinical staff once insurance has been verified/ authorization obtained.
• Assist billing department with various billing duties.

QUALIFICATION REQUIREMENTS

• Knowledge of Medicare preferred.
• Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred.
• Knowledge of Wellsky/Kinnser Agency Manager is preferred Experience coordinating with others both internally and externally, including referral sources and internal teams.
• Eligible to work in the United States.
• Available for weekend referral on-call rotation.

EDUCATION/EXPERIENCE

High school diploma or GED Minimum of one (1) year insurance verification, insurance authorization or medical billing experience.

• We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.

Join the AdvisaCare family and let's make a difference together!