Home Health Intake & Eligibility Coordinator

SNF Health Group; Philadelphia (Philadelphia County); On-site; USD 42,000 - 56,000; Full time

Job summary

SNF Health Group in Philadelphia is seeking a detail-oriented Home Health Intake & Eligibility Coordinator to review referrals, verify insurance eligibility, and determine if the agency can service each referral.

This role emphasizes accuracy, timely follow-up, and collaboration with referral sources, insurers, and internal teams to ensure patient needs and payer requirements align with service capabilities.

Qualifications

• Experience in healthcare intake or referral coordination.
• Familiarity with insurance eligibility and home health referral processes.
• Strong organizational skills and attention to detail.
• Excellent communication and follow-up skills.
• Ability to manage multiple referrals in a fast-paced environment.

Responsibilities

• Review incoming referrals and supporting clinical documentation for completeness and accuracy.
• Verify insurance coverage, benefits, eligibility, and authorization requirements.
• Determine serviceability based on payer requirements, patient needs, service area, and staffing.
• Identify missing documentation or barriers and follow up as needed.
• Communicate with referral sources, insurance providers, and internal clinical and administrative teams.
• Track referral status and ensure timely follow-up on pending cases.
• Maintain accurate referral records and ensure patient information remains confidential.

Skills

Healthcare coordination

Insurance verification

Attention to detail

Communication skills

Multi-tasking

Job description

Home Health Intake & Eligibility Coordinator

Position Overview

We are seeking a detail-oriented and organized Home Health Intake & Eligibility Coordinator to review incoming patient referrals, verify insurance eligibility, and determine whether the agency can appropriately service each referral.

Home Health Intake & Eligibility Coordinator Key Responsibilities

• Review incoming referrals and supporting clinical documentation for completeness and accuracy.
• Verify insurance coverage, benefits, eligibility, and authorization requirements.
• Determine whether the agency can service each referral based on payer requirements, patient needs, service area, and staffing availability.
• Identify missing documentation or potential barriers to accepting referrals and follow up as needed.
• Communicate with referral sources, insurance providers, and internal clinical and administrative teams.
• Track referral status and ensure timely follow-up on pending cases.
• Maintain accurate referral records and ensure patient information remains confidential.

Home Health Intake & Eligibility Coordinator Qualifications

• Previous experience in healthcare intake, referral coordination, insurance verification, or a related role preferred.
• Familiarity with insurance eligibility and home health referral processes.
• Strong organizational skills and attention to detail.
• Excellent communication and follow-up skills.
• Ability to manage multiple referrals in a fast-paced environment.

Ideal Candidate

The ideal candidate is proactive, detail-oriented, and capable of efficiently reviewing referrals, verifying coverage, and identifying whether the agency can meet the patient's needs and service requirements.