Reverification Coordinator

Amedisys; Baton Rouge, Northern (LA, KY); Hybrid; USD 23,000 - 26,000; Full time

Benefits offered by this job

Benefits package with PPO or HSA plans

Paid time off

Wellness rewards

Mental health support

401(k) plan with match

Family and parental leave

Job summary

Amedisys in Baton Rouge, LA, is looking for a Payor Change Moves Specialist to verify insurance eligibility and obtain required authorizations for Medicare and non-Medicare patients. You will coordinate with Payor Change Moves Specialist(s) and Revenue Recovery staff to share coverage details, reduce write-offs, and support accurate patient billing.

The role requires a high school diploma or equivalent, preferably with post-secondary training in medical billing/collections, and experience with

Qualifications

• High school diploma or equivalent is required.
• Post-secondary education or training in business or medical billing/collections is required.
• Two or more years in medical office/home health benefit verification preferred.

Responsibilities

• Identifies new payor and verifies insurance eligibility and benefits for patients in batch eligibility responses.
• Identifies new payor and verifies insurance eligibility and benefits for patients on the weekly denial report.
• Obtains initial authorization when required while maintaining confidentiality.
• Enters coordination notes in billing systems to notify Payor Change Moves Specialists of payor changes.
• Communicates with Revenue Recovery and branch staff about coverage information affecting care or billing.
• Aids in efficient collection of client and payor information to ensure accuracy.
• Works to reduce write-offs by completing payor verification and authorization within deadlines.
• Complies with policies, procedures, and regulatory mandates including the Compliance Program.
• Performs other duties as assigned.

Skills

Medical billing/collections

Education

High school diploma or equivalent

Post-secondary education or training in business or medical billing/collections

Tools

Homecare Homebase

Job description

Overview

Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

Attractive pay

• $17.00 - $19.00 p/h

What's in it for you

• A full benefits package with choice of affordable PPO or HSA medical plans.
• Paid time off.
• Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
• Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
• 401(k) with a company match.
• Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
• And more.

Please note: Benefit eligibility can vary by position depending on shift status.

*To participate, you must be enrolled in an Amedisys medical plan.

Responsible for verifying insurance eligibility and obtaining required authorization for Medicare and Non Medicare patient accounts identified to have possible coverage eligibility changes found through batch eligibility responses, reverification projects, and claim denials.

Responsibilities

1. Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on batch eligibility responses.
2. Identifies new payor and verifies insurance eligibility status and benefit details for patients returned on weekly claim denial report.
3. Obtains initial authorization when required while maintaining compliance to medical record confidentiality regulations.
4. Enters applicable coordination notes in billing and collections system to provide notification to Payor Change Moves Specialist(s) when a payor change is confirmed.
5. 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.
6. Assists the department in efficient collection of client and payor information to ensure accuracy.
7. Works to reduce write-offs by completing new payor verification and authorization requirements in assigned timeframe.
8. Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
9. Performs other duties as assigned

Qualifications

Required

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

Preferred

• Two (2+) years' experience in medical office/home health benefit verification.
• Homecare Homebase experience

Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.