Insurance Verification Coordinator

Company: HopeHealth
Location: Providence
Posted on: May 13, 2022

Job Description:

HopeHealth Hospice and Palliative Care is seeking an Insurance Verification Coordinator. This is a full-time, 40-hours per week position that is eligible for full benefits.
Insurance Verification Coordinator duties include:

• 
  
• Responsible for verifying and documenting accurate, timely insurance verification.
  
• Request, track, and obtain authorizations for services.
  
• Work closely with the Referral Center to admit patients in a timely manner.
  
• Regularly monitor changes in authorization payer requirements.
  
• Communicate to the team in a timely manner.
  
• If necessary, create and implement processes to adhere to new guidelines.
  
• Identify and solve complex insurance benefit issues.
  
• Provide administrative support for departmental functions.
  
• Work closely with other team members and departments in support of efficient, effective departmental operations including maximizing revenue realization and timely insurance verification and authorization requests.
  
• Serve as a resource and subject matter expert to the insurance verification team.
  
• Ensure processes are uniform across all service lines (home health, hospice, and palliative).
  
• Assist with managerial functions as needed.
  
  Minimum Education and Experience Requirements:
  
  • 
    
  • High school diploma with minimum six years' experience in healthcare insurance verification, preferably in a home care and hospice environment.
    
  • Demonstrated knowledge of Medicare, Medicaid, and other payer guidelines and criteria for insurance eligibility and authorization requirements.
    
  • Working knowledge of Microsoft Office products including Word, Excel, and Outlook.
    
  • Knowledge of patient information systems.
    

Keywords: HopeHealth, Providence , Insurance Verification Coordinator, Other , Providence, Rhode Island