Eligibility Coordinator

Overview

Enhabit is hiring an Eligibility Coordinator to join our team. This is a fully remote position but the person hired for this role should reside within driving distance of an Enhabit office. 

The Eligibility Coordinator works to verify and re-verify insurance to ensure that Enhabit has the most accurate benefit and payor information. This role verifies eligibility and home health benefits based on the insurance plan and enters eligibility and reverification requests. This position will contact patients for updated insurance information and coordinate with branch staff for identified transitions. 

Hours: Monday-Friday, 8:30am-5:30pm CST or 9:00am-6:00pm CST.

Responsibilities

• Perform eligibility and reverification checks on patient insurance plans to ensure a smooth admission process for branch
• Ensure all demographic information is accurate on the referral form.
• Provide specific details regarding patient insurance benefits prior to admission.
• Assist with providing two to three in-network agencies if insurance is out of network with Enhabit.
• Perform eligibility check on claims which have been denied for insurance termed; submit payor change or request for authorization.
• Proactively identify who could be switching to Medicare the first day of the following month, pull and process reports as outlined.

Qualifications

• Must have a high school diploma or equivalent is required.
• Two years of college or professional school are preferred.
• One year of experience with third-party eligibility verification is highly preferred.
• Two years of experience in insurance authorizations is preferred.
• At least one year of demonstrated experience with the ICD-9, ICD-10, CPT, HCPCS is preferred.

Additional Information

Compensation = $16-$18 per hour

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
• Pet insurance
• Employee scholarship program
• Promote-from-within philosophy

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.

No deadline (Indefinite) - Ongoing Recruitment