Reverification Coordinator

UnitedHealth Group; Baton Rouge (LA); Vor Ort; USD 28.000 - 39.000; Vollzeit

Benefits dieser Stelle

Comprehensive benefits

401k matching

Equity stock purchase

Incentive and recognition programs

Flexible scheduling

Zusammenfassung

UnitedHealth Group is seeking a Reverification Coordinator to verify insurance eligibility and obtain required authorizations for Medicare and non‑Medicare patient accounts with potential coverage changes. This role supports revenue integrity and ensures accurate payor information and timely authorizations across revenue cycle teams.

The position requires a high school diploma or equivalent and post-secondary education in billing/collections, with preference for experience in medical office or

Qualifikationen

• High school diploma or equivalent is required.
• Post-secondary education or training in business or medical billing/collections is preferred.

Aufgaben

• Identify patient payors and verify insurance eligibility and benefit details for batch eligibility responses.
• Identify new payors and verify eligibility for patients on weekly claim denial reports.
• Obtain initial authorization when required while maintaining confidentiality of medical records.
• Enter coordination notes in billing systems to notify Payor Change Moves Specialists when payor changes are confirmed.
• Communicate with Revenue Recovery and branch staff to share insurance coverage information affecting care or reimbursement.
• Assist the department in efficient collection of client and payor information to ensure accuracy.
• Work to reduce write-offs by completing payor verification and authorization in the assigned timeframe.
• Comply with policies, procedures and regulatory mandates, including the Compliance Program.
• Perform other duties as assigned.

Kenntnisse

Medical billing

Insurance verification

Authorization processing

Ausbildung

High school diploma or equivalent

Post-secondary education in business or medical billing/collections

Jobbeschreibung

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Reverification Coordinator, you will be responsible for verifying insurance eligibility and obtaining required authorizations for Medicare and non‑Medicare patient accounts that have potential coverage changes. This role supports revenue integrity efforts by ensuring accurate payor information, timely authorizations, and effective communication across revenue cycle and operational teams.

Primary Responsibilities:

• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on batch eligibility responses
• Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on weekly claim denial report
• Obtains initial authorization when required while maintaining compliance to medical record confidentiality regulations
• Enters applicable coordination notes in billing and collections system to provide notification to Payor Change Moves Specialist(s) when a payor change is confirmed
• Communicates directly with other members of Revenue Recovery and branch staff to provide insurance coverage information that may impact patient care, reimbursement, or patient financial liability
• Assists the department in efficient collection of client and payor information to ensure accuracy
• Works to reduce write-offs by completing new payor verification and authorization requirements in assigned timeframe
• Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program
• Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma or equivalent
• Post‑secondary education or training in business or medical billing/collections

Preferred Qualifications:

• 2+ years of experience in medical office, home health, or healthcare benefit verification
• Homecare Homebase experience

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $xx.xx to $xx.xx per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.