Eligibility Coordinator

Posted 19 Days Ago
Be an Early Applicant
28226, Charlotte, NC, USA
In-Office
Mid level
Professional Services • Social Impact
The Role
Verifies Medicare, Medicaid, and commercial insurance eligibility and benefits; completes hospice benefit verification forms; sets up reimbursors; processes subsidy assistance applications; and assists with hospice and palliative care authorizations. Requires an associate degree or equivalent experience and at least three years of medical-practice insurance verification and authorization experience.
Summary Generated by Built In

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care.  More importantly, we are proud to be a community-based, not-for-profit hospice & palliative care provider.  We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people-first organization whose funds go to serve our mission.

Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.

We provide excellent benefits including:

  • Medical, Vision, and Dental plans through BCBS
  • 28 days of Paid Time Off
  • Excellent mileage reimbursement rate 
  • 403b Retirement plan with matching
  • Focused programs honoring Veteran patients
  • Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
  • Best Orientation and Onboarding program you’ve experienced
  • Seasoned Hospice leaders guiding your career growth

Position Summary: Responsibilities are obtaining hospice and specialist insurance verifications through a clearinghouse, insurance portal, and/or phone call, completing hospice benefit verification form for commercial payors, set-up of Reimbursors on patients’ account, process subsidy assistance applications, and assist with obtaining authorizations, as needed.

Essential Duties:

Insurance Verification and Authorizations

  • Verification of Medicare, Medicaid, & Commercial Payors eligibility and/or benefits through a clearinghouse, insurance portal, and/or phone call

  • Complete Hospice Benefit Verification Form for commercial payors

  • Reimbursor set-up on patients’ account

  • Process Subsidy Assistance Applications

  • Assist with obtaining hospice and palliative authorizations as needed


  • Other duties as required

 


Qualifications
  • Associates Degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
  • Minimum of 3 years working experience in insurance verification and obtaining authorization in a medical practice.
  • Working knowledge of Medicare, Medicaid, Commercial payers, Workers’ Compensation and Medicare Replacement plans.
  • Experience with NCTracks preferred, not required.
  • Experience with eCW software preferred, not required.

Skills Required

  • Associate degree in a related technical discipline or equivalent education, certifications, training, or work experience
  • At least 3 years of experience in insurance verification and obtaining authorizations in a medical practice
  • Working knowledge of Medicare, Medicaid, commercial payers, Workers' Compensation, and Medicare Replacement plans
  • Experience with NCTracks
  • Experience with eCW software
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The Company
HQ: Charlotte, NC
850 Employees
Year Founded: 1978

What We Do

VIA Health Partners is a non-profit organization specializing in hospice and palliative care, serving communities across North and South Carolina with a mission to relieve suffering and enhance quality of life.

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