Reimbursement Coordinator – E&A

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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WellSky

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1980

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Private Equity Round on 2020-07

Healthcare • Consulting • Logistics

WellSky is a leading healthcare technology company dedicated to improving healthcare and community care outcomes worldwide. By offering comprehensive software solutions and analytics, WellSky enables healthcare providers, payers, and community organizations to collaborate and enhance care quality and accessibility. Their focus spans intelligent care management, connected care networks, and transformative analytics, aiming to create more efficient, inclusive, and sustainable healthcare systems. WellSky addresses social determinants of health and emphasizes patient and family engagement, supporting care in various settings including home, long-term, and acute care.

📋 Description

• Coordinate intake, insurance verification, eligibility review, authorization submission, review, and follow-up for designated accounts • Work with payors and internal and external customers to achieve efficient and effective insurance and authorization results • Review and verify insurance reports for patient eligibility, benefits, limitations, coordination of benefits, plan coverage, and patient liability • Review referral documents and obtain required information • Complete accurate patient data entry into the EMR system within expected time frames • Verify prior authorization and pre-service requirements • Submit authorization requests through the preferred method and combine required documents • Enter authorization information accurately into patient charts within the EMR • Follow up on authorization submissions to ensure process completion • Assist with authorization denials when applicable • Prepare special handling and/or processing for payors and/or clients • Perform other assigned job duties

🎯 Requirements

• GED or High School Diploma • At least 1-2 years of relevant work experience • Insurance and Authorization experience in the healthcare industry • Home Health and Hospice Insurance and Authorization experience • Willingness to work additional or irregular hours as needed • Must comply with applicable security policies and procedures to safeguard company and client information • Ability to sit and view a computer screen for extended periods • Applicants for U.S.-based positions must be legally authorized to work in the United States • Employment eligibility verification required at hire • Certain client-facing positions may require compliance with immunizations and occupational health mandates

🏖️ Benefits

• Excellent medical with Rx, dental, and vision benefits • Mental Health support through EAP • Generous paid time off, plus 13 paid holidays • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year