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HPSC-Home Health Intake & Authorization Coordinator

Frontpoint Health, LLC
Longview, USA
Full-time
Entry
Onsite
Discovered 1 months ago

Full Job Posting

  • Receive, review, and process incoming home health referrals.
  • Verify insurance eligibility and benefits for all new referrals.
  • Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers.
  • Coordinate with physicians to obtain face-to-face documentation, and any additional required paperwork.
  • Ensure referrals meet Medicare and payer-specific coverage criteria.
  • Enter patient demographics, insurance information, physician orders, and referral documentation into the electronic medical record (EMR).
  • Maintain communication with referral sources regarding referral status.
  • Track authorization expiration dates and request extensions or additional visits as needed.
  • Resolve insurance authorization issues that may delay patient admission or continuation of services.
  • Maintain accurate documentation and comply with HIPPA, Medical Conditions of Participation, and agency policies.
  • Assist with census growth by facilitating timely admissions.
  • Participate in quality improvement initiatives and workflow optimization.
  • Perform other duties as assigned.
  • High school diploma or GED required.
  • Minimum of 2 years of home health intake, insurance authorization, or medical office experience preferred.
  • Knowledge of Medicare, Medicare Advantage, other payers, and prior authorization requirements.
  • Experience with Homecare Homebase.
  • Strong understanding of home health eligibility requirements and physician documentation.
  • Excellent organizational, multitasking, and problem-solving skills.
  • Strong verbal and written communication skills.
  • Proficiency in Microsoft Office and computer applications.
  • Ability to work independently and as part of a multi-disciplinary team.
  • Excellent attention to detail.
  • Ability to prioritize multiple referrals in a fast-paced environment.
  • Strong customer service skills when interacting with patients, families, referral sources, and physicians.
  • Ability to maintain confidentiality and professionalism.
  • Knowledge of medical terminology and insurance billing processes.
  • Prolonged periods of sitting and computer work.
  • Ability to communicate effectively by telephone and in person.
  • Ability to occasionally lift up to 20 pounds.
  • Office-Based position in a home health agency.
  • Frequent interaction with referral sources, physicians' offices, insurance representatives, and clinical staff.
  • Health, Dental and Vision Insurance
  • Teladoc
  • Paid Time off
  • 401(k)
  • Short and Long Term Disability

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