Home Health Intake & Eligibility Specialist

SNF Health Group

Philadelphia (Philadelphia County)

On-site

USD 42,000 - 56,000

Full time

6 days ago
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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

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.

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