Insurance Eligibility & Authorization Specialist

SERENITY HOME HEALTH CARE; Niles (IL); On-site; USD 28,000 - 29,000; Full time

Job summary

SERENITY HOME HEALTH CARE is seeking an Intake and Eligibility Coordinator in Niles, IL. This role focuses on verifying client insurance eligibility, obtaining authorizations, and ensuring seamless billing for services rendered.

The ideal candidate has 3+ years in healthcare administration, strong data accuracy, and proficiency with payer portals. Excellent communication and independent work capabilities are required for a collaborative team environment.

Qualifications

• High school diploma or equivalent.
• Experience with insurance verification and authorizations.
• Proficient with payer portals and EHR systems.
• Strong attention to detail and data accuracy.
• Excellent verbal and written communication skills.

Responsibilities

• Verify insurance eligibility daily for new and existing clients using multiple portals.
• Manage the full authorization lifecycle and renewals, track expirations.
• Consolidate renewal requests for multiple payers and CCUs and submit.
• Notify billing and branches about insurance changes to ensure continuity.
• Maintain accurate records in AxisCare and related spreadsheets.

Skills

Insurance verification

Authorization management

EHR systems

Attention to detail

Communication skills

Education

High school diploma or equivalent

Associate/Bachelor's degree preferred

Tools

AxisCare

PSS

Availity

MCO portals

Job description

SERENITY HOME HEALTH CARE is seeking an Intake and Eligibility Coordinator in Niles, IL. This role focuses on verifying client insurance eligibility, obtaining authorizations, and ensuring seamless billing for services rendered.

The ideal candidate has 3+ years in healthcare administration, strong data accuracy, and proficiency with payer portals. Excellent communication and independent work capabilities are required for a collaborative team environment.