Authorization & Eligibility Coordinator

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 10,001

Location

United States

Posted

6 days ago

Salary

$16 - $20 / hour

Insurance VerificationAuthorization ManagementICD 10CPT CodesHCPCSMedicare EligibilityMedical Billing

Job Description

Overview

The authorization coordinator is responsible for providing accurate and complete data input for precertification requests, verifying insurance, and obtaining authorization as required by each insurance company. The authorization coordinator works closely with branch staff to ensure adequate coordination and transition.

 

 

This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WY.

 

The right candidate for this position should be able to work 9am-5pm 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

Qualifications

  • Must have a high school diploma or equivalent. 
  • Two years of college or professional school is preferred.
  • One year of third party eligibility verification experience is preferred.
  • One year experience in insurance authorizations is preferred.
  • One year experience with ICD-10, CPT codes, or HCPCS is preferred. 

Additional Information

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
  • Employee scholarship program
  • Promote-from-within philosophy

Pay range is $16- $20/hr

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.

 

This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates.

Related Categories

Related Job Pages

More Claims Specialist Jobs

Claims Adjuster II | California

EIG Services Inc

As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business. EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. Known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. Discover an energetic environment that inspires top achievement.

Claims Specialist6 days ago
Full TimeRemote

The role involves managing workers' compensation claims from initiation to closure, which includes investigating claims, determining compensability, and setting accurate reserves. Responsibilities also cover coordinating medical care, monitoring return-to-work progress, evaluating and paying benefits compliantly, and collaborating with defense counsel.

United States
$60K - $84K / year
Full TimeRemoteTeam 501-1,000

The examiner manages all aspects of indemnity claims from start to finish within established authority, handling a caseload of 150 or fewer workers’ compensation files, including complex cases. Duties involve initiating investigations, determining compensability, administering benefits, managing medical treatment, and settling claims.

United States
$35 - $45 / hour
Full TimeRemoteTeam 501-1,000

The examiner manages all aspects of indemnity claims from start to finish within established authority, handling a caseload of 150 or fewer complex workers’ compensation files. Duties include initiating investigations, determining compensability, administering benefits, managing medical treatment, setting reserves, and settling all claims.

United States
$70K - $85K / year
Full TimeRemoteTeam 1,001-5,000

The role involves analyzing inputs and products to precisely define technical data, transformations, and validations, while creating technical design artifacts like interface contracts (Swagger/OpenAPI) and sequence diagrams. Responsibilities also include technically supervising development teams, resolving infrastructure blocks, and coordinating technical requirements with various banking areas.

United States + 1 moreAll locations: United States, Pakistan