Authorization & Eligibility Coordinator at Enhabit Home Health & Hospice

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

30 May, 26

Salary

20.0

Posted On

01 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Input, Precertification Requests, Insurance Verification, Authorization, Benefit Verification, Deductible Calculation, Co-pay Calculation, Co-insurance Calculation, Secondary Insurance Verification, Medicare Eligibility Verification, ICD-10, CPT Codes, HCPCS

Industry

Hospitals and Health Care

Description

Overview The authorization coordinator is responsible for providing accurate and complete data input for precertification requests, verifying insurance, and obtaining authorization as required by each insurance company. The authorization coordinator works closely with branch staff to ensure adequate coordination and transition. This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. The right candidate for this position should be able to work 9am-5pm CST. Responsibilities Provide specific details regarding a patient’s insurance benefits prior to admission Obtain appropriate authorizations specific to patient’s care Provide insurance company with all required information within contractual timelines Verify insurance information and provide specific details of patient benefits in record; include deductible, out-of-pocket, co-pays, co-insurance, and amounts met, as well as in- and out-of-network benefits Verify secondary insurances if primary insurance is not covered 100% Assist with in-network agencies if insurance is out-of-network Verify Medicare eligibility and ensure accuracy of Medicare number in the patient record Qualifications Must have a high school diploma or equivalent. Two years of college or professional school is preferred. One year of third party eligibility verification experience is preferred. One year experience in insurance authorizations is preferred. One year experience with ICD-10, CPT codes, or HCPCS is preferred. Additional Information At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include: Comprehensive insurance plans - medical, dental, and vision Generous paid time off – Up to 30 paid days off per year 401k retirement savings plan with match Basic life insurance at no cost to eligible employees Employee scholarship program Promote-from-within philosophy Pay range is $16- $20/hr Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary. This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates.

Responsibilities

The authorization coordinator is responsible for accurately inputting data for precertification requests, verifying insurance details, and obtaining necessary authorizations from insurance companies. This role involves close collaboration with branch staff to ensure smooth coordination and patient transition.