Reimbursement Coordinator-E&A

The Reimbursement Coordinator – Eligibility and Authorization is responsible forperformingdesignated intake, insurance verification, eligibility review, authorization submission, review and follow up.Works directly with the payorand internal and external customers towards efficient and effective insurance and authorization

results

We invite you to apply today and join us in shaping the future of healthcare!

Key Responsibilities

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Ensures the coordination of intake, insurance, and authorization activities for designatedaccounts, leading to thetimelyandaccurateverificationof coverage andbenefits,authorization,submissionand follow-up.

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Determinesand initiatesappropriate actionto review and verify insurance reports for patienteligibility, benefits, limitations, coordination of benefits, plancoverage,and patient liability.

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Review referral documents received from outside or internal sources to properly obtain requiredinformation and accurately complete data entry of patient information intothe EMRsystem withinthe expectedtime frame.

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Verify prior authorization and or pre-service requirements as determined by payor, accuratelysubmit authorization requests via preferred method, combine required documents forsubmission, enter authorization accurately into patient chart within EMR, complete follow up ofsubmissions to ensure process completion,assistwith authorization denials when applicable.

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Prepares special handling and/or processing for payors and/or clients.

- Perform other job duties as assigned.

Required qualifications

- GED or High School Diploma

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At least 1-2 years of relevant work experience

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Focus on Insurance andAuthorization experience in the healthcare industry

Required qualifications

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Home Health and Hospice Insurance and Authorization experience

Job Expectations

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Willing to workadditionalor irregular hours as needed

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Must workin accordance withapplicable security policies and procedures to safeguard company and client information

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Must be able to sit and view a computer screen for extended periods of time

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky :

- Excellent medical with Rx, dental, and vision benefits

- Mental Health support through EAP

- Generous paid time off, plus 13 paid holidays

- 100% vested 401(K) retirement plans

- Educational assistance up to $2500 per year

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

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Originally posted on Himalayas