Home Health Intake & Eligibility Coordinator

Premier Healthcare LLC; Philadelphia (Philadelphia County); On-site; USD 42,000 - 66,000; Full time

Job summary

Premier Healthcare LLC is seeking a detail-oriented Home Health Intake & Eligibility Coordinator to review referrals, verify insurance eligibility, and determine service feasibility. You will communicate with referral sources, insurers, and internal teams, track referral status, and maintain confidential records.

The ideal candidate has experience in healthcare intake, insurance verification, strong organization and communication skills, and the ability to manage multiple referrals in a

Qualifications

• Experience in healthcare intake or referral coordination.
• Familiarity with insurance eligibility and home health referrals.
• Strong organizational and communication 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 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.

Skills

Healthcare intake

Insurance verification

Referral coordination

Communication

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.