WFHC Durable Home Health Coordinator

Job Description

Job Description

Clinic hiring for admin responsible for home health coordination of medical equipment and general case management.
Pay rate: $18-$20/hour
Schedule: Monday - Friday, 8:30am-5pm, 30 min lunch
Type: temp to hire

• Complete prior authorization processes for Durable Medical Equipment (DME), Home Health services, Specialty Services, and, in some cases, medications.
• Conduct telephonic discussions with healthcare providers, patients, family members, and insurance carriers to obtain clinical information and explain authorization or coverage determinations.
• Maintain ongoing tracking and documentation of referrals, authorizations, and benefit determinations, including coverage guidelines, contractual limitations, and reimbursement decisions, to promote team awareness, continuity of care, and patient safety.
• Work independently while collaborating with medical providers and non-clinical partners to coordinate patient care and ensure timely access to services.
• Act as a patient advocate with insurance carriers, when appropriate, to help secure timely approval of medically necessary supplies and services.

Requirements
Education & Training 

• High School Diploma or GED required.
• Associate degree in Healthcare Administration, Medical Assisting, Health Information Management, or a related healthcare field preferred.
• Certification as a Medical Assistant, Referral Coordinator, or other healthcare-related certification is preferred but not required.
• Ongoing continuing education related to healthcare coordination, insurance authorization processes, or patient care is encouraged. 

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