Insurance Eligibility Coordinator

Alliance Health Services, Inc.; Oxnard (CA); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental

Vision

Holiday

Job summary

Alliance Health Services, Inc. is seeking an Insurance Benefits Coordinator to support patient care authorizations and billing coordination. This in-person, full-time role requires handling insurance verification, documentation, and payer interactions with accuracy and professionalism.

You will work closely with clinical teams to ensure timely access to services, manage records, and assist with billing issues related to insurance authorizations in a home health setting.

Qualifications

• Minimum 1 year of experience in an insurance benefits coordinator role, preferably in home health.
• Clear and concise written and verbal communication, including following a written script.
• Organize and maintain extensive records and multi-task in a fast-paced environment.
• Strong technical aptitude with standard office equipment and EMR software.
• Plan, organize, and perform duties with minimal supervision.
• Establish and maintain effective relationships with patients and staff.
• Minimum 1 year of EMR software experience; medical billing 1 year required.

Responsibilities

• Obtain authorization for patient care (initial, reauthorization, follow-up).
• Verify insurance eligibility; contact patients/departments on negative outcomes.
• Assist billing with claims issues due to insurance authorization denials.
• Coordinate with clinical teams and referral sources on authorization needs.
• Maintain progress/tracking reports for outstanding authorizations.
• Collect and document demographic, insurance, and financial information.
• Follow guidelines for patient and payer interactions; escalate where needed.
• Negotiate payment reimbursement with patients and third-party payers.
• Perform other duties as assigned.

Skills

Communication skills

Technical aptitude

Multitasking

Documentation

EMR experience

Medical billing

Microsoft Word

Excel

Education

High school or equivalent

Tools

EMR & Practice Management Systems

Microsoft Word

Excel

Outlook

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Job Type: Full-time

Pay: From $21.00 - 25.00 per hour

Work Location: In person

Job Description

Alliance Health Services is dedicated to providing innovative, quality, and cost-effective home health services to patients in their homes involving families that require skilled nursing, rehabilitative, and support services.

Responsibilities

The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Duties

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
• Verify insurance eligibility; contact patients and departments with any negative outcomes
• Assist billing with claims issues due to insurance authorization denials
• Work closely with the clinical teams and referral sources regarding current and future authorization needs
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
• Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
• Follow approved guidelines and policies regarding routine patient and payer interactions
• Negotiate payment reimbursement from a patient and third-party payers
• Other duties as assigned

Benefits:

• 401(k)
• Health insurance
• Dental
• Vision
• Holiday

Requirements:

• Minimum of 1 year of experience in an insurance benefits coordinator role; preferably in a home health setting.
• Communicate clearly and concisely, both orally and in writing, including the ability to follow a written script, submit comprehensive summary reports and other written materials.
• Organize and maintain extensive records, research and compile information, and have the ability to multi-task in a fast-paced environment.
• Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications.
• Plan, organize, prioritize, and perform duties in accordance with department policy and procedure as assigned with minimal supervision.
• Establish and maintain effective working relationships with our patients and all levels of staff
• Minimum of 1 year of experience using EMR softwares
• Medical billing: 1 year (Required)

Education: High school or equivalent (Required)

This position is currently accepting applications.