Remote Eligibility Coordinator - Home Health (NM)

Wheelersp; Albuquerque (NM); Hybrid; USD 25,000 - 26,000; Full time

Job summary

Wheeler Staffing Partners seeks an Eligibility Coordinator – Home Health for a fully remote contract opportunity supporting New Mexico. You will verify patient insurance eligibility, review coverage, and coordinate with payors to ensure timely home health services.

The role requires about 2 years in healthcare eligibility verification or benefits coordination, with New Mexico Medicaid knowledge and home health experience. Works remotely within NM with HIPAA-compliant documentation.

Qualifications

• 2 years of healthcare eligibility verification or benefits coordination experience.
• Must reside in New Mexico and have home health experience.
• Direct experience with New Mexico Medicaid eligibility and benefits verification.
• Experience with Medicaid, commercial insurance, and Medicare Advantage payors.
• Proficiency with EMR systems and Microsoft Office; HIPAA aware.

Responsibilities

• Verify patient insurance eligibility and benefits before start and continuation of home health services.
• Review coverage, benefit limitations, authorization requirements, and patient financial responsibility.
• Verify New Mexico Medicaid eligibility and identify coverage changes or inactive policies.
• Confirm Medicare Advantage, commercial insurance, and VA benefits when applicable.
• Communicate with insurance payors to verify eligibility, clarify benefits, and resolve issues.
• Enter, update, and maintain patient insurance information in home health EMR systems.
• Collaborate with admissions, intake, clinical, and branch teams to ensure timely verification of coverage.
• Monitor changes in patient coverage and follow up on discrepancies or eligibility concerns.
• Maintain documentation of insurance verification activities within patient records.
• Assist with resolving insurance issues that delay admissions or ongoing services.
• Provide administrative support to the home health team during the contract assignment.
• Maintain HIPAA compliance and confidentiality.

Skills

Eligibility verification

Healthcare experience

Payor communications

EMR systems

HIPAA compliance

Remote work

Tools

Homecare Homebase

Job description

Wheeler Staffing Partners seeks an Eligibility Coordinator – Home Health for a fully remote contract opportunity supporting New Mexico. You will verify patient insurance eligibility, review coverage, and coordinate with payors to ensure timely home health services.

The role requires about 2 years in healthcare eligibility verification or benefits coordination, with New Mexico Medicaid knowledge and home health experience. Works remotely within NM with HIPAA-compliant documentation.