Authorization & Eligibility Coordinator

Authorization & Eligibility Coordinator

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. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WY.

The right candidate for this position should be able to work 9:30am-6:30pm 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.