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315 Genesee Region Home Care Association Inc

FERC Coordinator-LTC

Job Description

Job Title:
FERC Coordinator Department:
Home Care Insurance Coordination Location:
Home Care- 330 Monroe Ave, Rochester, NY Hours per week: 40
Schedule:
Monday-Friday 8:30am-5:00pm- Option for hybrid or remote work once fully trained.
Key Responsibilities:
  • Verification of insurance eligibility and long term care coverage for pending Long Term Care admissions
  • Obtains required authorizations for services in accordance with payer guidelines
  • Identifies patient responsibility for pending Long Term Care admissions to facilitate future collections
  • Provides required and completed financial information to Admissions Coordinators for communication back to complete the final offer for pending patients and/or patient family members
  • Performs registration in RRH Billing System along with matching registration in Long Term Care Billing System
  • Works closely with billing department on insurance denials and trends
  • Performs other duties as assigned to improve financial performance for long term care
Minimum Qualifications:
  • Bachelor's degree preferred
  • 5 years related work experience in a healthcare setting preferred
Required Licensure/Certification Skills:
  • None
EDUCATION
LICENSES /
CERTIFICATIONS:
PHYSICAL REQUIREMENTS
Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver's license. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE
$18.50 - $22.00
CITY:
Rochester
POSTAL CODE
14607 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Benefits

  • Dental Insurance

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$51,430 / year median in New York

+19% projected growth

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