Home Health Eligibility Specialist

Position Overview The Eligibility Specialist is responsible for contacting insurance companies to verify a patient's coverage and eligibility for home healthcare services, ensuring accurate billing by confirming details like benefits, copay amounts, and service limitations, all while adhering to HIPAA regulations and company policies; this role typically involves utilizing dedicated software to manage patient information and insurance verification processes. This is a remote hybrid position where you will work from home but are required to come into the office for any required trainings or in-person meetings. Schedule: Full‑Time hours Monday through Friday 10:00am‑7:00pm EST supporting the East Region Home Health Team. Essential Job Functions Contact insurance providers to verify patient eligibility and coverage for requested home healthcare services. Accurately enter patient and insurance information into the company database. Confirm details such as copay amounts, deductibles, and service limitations for each patient's insurance plan. Assess if a patient meets the criteria for covered home healthcare services based on their medical diagnosis and insurance policy. Initiate prior authorization requests for specific treatments or services when necessary. Explain the verification process to patients and address any questions regarding their insurance coverage. Provide accurate patient and insurance information to the billing department to facilitate smooth claims submission. Adhere to HIPAA guidelines to protect patient privacy. Requirements High school diploma. 2+ years of related experience. Strong computer skills (Word, Excel, Power Point). Preferences Bachelor’s Degree. HCHB experience. Remote and hybrid work is limited to the United States only, and in states where Aveanna conducts business. Remote workers should be prepared to come into the office periodically. #J-18808-Ljbffr Aveanna Healthcare