Eligibility Coordinator

Eligibility CoordinatorVIA 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.