Monthly Insurance Eligibility Coordinator

Appone; California (MO); 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 is seeking a Monthly Insurance Eligibility Coordinator to manage patient insurance verifications and authorization requests. This role requires timely submission of authorization requests via paper forms, payer portals, fax, or other means, with regular follow-up to ensure approval.

You will collaborate with clinical teams and payers, maintain progress/tracking reports, and ensure accurate collection of demographics and financial information.

Qualifications

• 1 year of experience in insurance benefits coordination; home health setting preferred.
• Clear and concise written and oral communication, ability to follow scripts and submit reports.
• Proficient with EMR and office software; ability to multi-task in a fast-paced environment.

Responsibilities

• Obtain authorization for patient care (initial, reauthorization, follow-up).
• Verify insurance eligibility and contact departments with any negative outcomes.
• Assist billing with claims issues related to insurance authorization denials.
• Coordinate with clinical teams and referral sources on current and future authorization needs.
• Maintain progress/tracking reports for outstanding authorization to ensure timely processing.
• Collect and document demographic, insurance, and financial information with patients and payers.
• Follow guidelines for routine patient and payer interactions.
• Negotiate payment reimbursement with patients and third-party payers.
• Other duties as assigned.

Skills

Insurance coordination

EMR systems

MS Office

Record keeping

Communication skills

Education

High school diploma or equivalent

Tools

EMR software

Practice Management Systems

Job description

Monthly Insurance Eligibility Coordinator

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.

Description

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

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)

Benefits:

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

Job Type: Full-time

Pay: From $21.00 - 25.00 per hour

Work Location: In person

This position is currently accepting applications.