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AdvisaCare

Home Health Intake Coordinator

Clinical Support & Patient AdministrationPosted on Nov 9
Full-timePortage, MI, USANo salary listedIn-person

About the Job

Requirements

  • Knowledge of Medicare is preferred.
  • Experience with insurance websites such as CareCentrix, Availity, and Priority is preferred.
  • Knowledge of Wellsky/Kinnser Agency Manager is preferred.
  • Experience coordinating with internal and external contacts, including referral sources and internal teams.
  • Eligible to work in the United States.
  • Available for weekend referral on-call rotation.
  • High school diploma or GED.
  • At least one year of insurance verification, insurance authorization, or medical billing experience.

Responsibilities

  • Obtain detailed and accurate benefit information from insurance companies by website or phone.
  • Validate and document payor information, such as patient name and date of birth, in the Wellsky/Kinnser system.
  • Document benefit information, including deductibles, co-pays, co-insurance, and out-of-pocket maximums, in the patient’s chart.
  • Obtain start-of-care authorization for managed-care cases that do not require clinical documentation.
  • Verify all pre-operative patients before their scheduled surgery.
  • Monitor the task-flow screen daily and continuously for insurance issues, including verifying Medicare eligibility, completing insurance verification, reviewing eligibility alerts, obtaining initial authorization, and re-verifying insurance at recertification and resumption of care.
  • Monitor orders needing to be sent to physicians and follow up with physician offices as necessary.
  • Assist the intake department, discharge planners, and referral sources with contracted insurance issues and patient placement, including obtaining documentation needed to initiate services.
  • Contact physician offices or patients to obtain information or clarify benefits.
  • Schedule clinical staff after insurance verification and authorization are complete.
  • Assist the billing department with various billing duties.

Desired Qualifications

  • Knowledge of Medicare.
  • Experience with insurance websites such as CareCentrix, Availity, and Priority.
  • Knowledge of Wellsky/Kinnser Agency Manager.

About the Company

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