I'm here to be part of a culture of care and be there for those who need me

Overview

The Authorization and Eligibility Coordinator is responsible for accurately identifying insurance and verifying eligibility and benefits, obtaining authorization as required by each insurance company, dependent upon the plan coverage for each patient. Accurately assesses benefits to ensure reimbursement for services provided. Also responsible for contacting patients for updated insurance information when applicable and for coordinating with branch staff. Acts as a resource for referral sources and works closely with branch staff to ensure that the admission and recertification process is efficient, facilitating timely initiation and overall provision of care.

This is a fully remote position but the person hired for this role should reside within driving distance of an Enhabit office. 

Hours: Monday-Friday, 7:00am- 4:00pm CST or 10:00am-7:00pm CST.

Responsibilities

• Provide specific details regarding a patient’s insurance benefits prior to admission
• Obtain appropriate authorizations specific to patient’s care
• Provide insurance company with all required information within contractual timelines
• Verify insurance information and provide specific details of patient benefits in record; include deductible, out-of-pocket, co-pays, co-insurance, and amounts met, as well as in- and out-of-network benefits
• Verify secondary insurances if primary insurance is not covered 100%
• Assist with in-network agencies if insurance is out-of-network
• Verify Medicare eligibility and ensure accuracy of Medicare number in the patient record
• Complete all other duties as assigned.

Qualifications

Additional Information

Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:

• 30 days PDO – Up to 6 weeks (PDO includes company observed holidays)
• Continuing education opportunities
• Scholarship program for employees
• Matching 401(k) plan for all employees
• Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
• Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
• Flexible spending account plans for full-time employees
• Minimum essential coverage health insurance plan for all employees
• Electronic medical records and mobile devices for all clinicians
• Incentivized bonus plan

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.