• Home Health Remote Hybrid Eligibility Specialist

    Aveanna Healthcare (Atlanta, GA)


    Home Health Remote Hybrid Eligibility Specialist

     

    ApplyRefer a FriendBack

    Job Details

    Requisition #:

    209017

    Location:

    Atlanta, GA 30339

    Category:

    OT

    Salary:

    $20.00 - $22.00 per hour

    Position Details

    Position Overview

    TheEligibility Specialistis responsible for contacting insurance companies to verify a patient's coverage and eligibility for home healthcare services, ensuring accurate billing by confirming details like benefits, copay amounts, and service limitations, all while adhering to HIPAA regulations and company policies; this role typically involves utilizing dedicated software to manage patient information and insurance verification processes.

     

    This role is a remote hybrid position where you will work from home but are required to come into the office for any required trainings or in-person meetings.

    Schedule: Full-Time hours with 2 schedule options to choose from:

    Monday-Friday 8:30am-5:30pm or Wednesday - Sunday 8:30am - 5:30pm

     

    Essential Job Functions

     

    + Contacting insurance companies:

     

    Calling insurance providers to verify patient eligibility and coverage for requested home healthcare services.

     

    + Data entry:

     

    Accurately entering patient and insurance information into the company database.

     

    + Benefit verification:

     

    Confirming details like copay amounts, deductibles, and service limitations for each patient's insurance plan.

     

    + Eligibility checks:

     

    Assessing if a patient meets the criteria for covered home healthcare services based on their medical diagnosis and insurance policy.

     

    + Prior authorization requests:

     

    Initiating prior authorization requests for specific treatments or services when necessary.

     

    + Patient communication:

     

    Explaining verification process to patients and addressing any questions regarding their insurance coverage.

     

    + Claims submission support:

     

    Providing accurate patient and insurance information to the billing department to facilitate smooth claims submission.

     

    + Compliance with regulations:

     

    Adhering to HIPAA guidelines to protect patient privacy.

    Requirements

    • High school diploma

    • 2+ years of related experience

    • Strong computer skills (Word, Excel, Power Point)

    Preferences

    • Bachelor’s Degree

    • HCHB experience

     

    Remote and hybrid work is limited to the United States only, and in states where Aveanna conducts business. Remote workers should be prepared to come into the office periodically.

     

    As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

     

    Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html)

     

    Apply