Unique Home Health Services is seeking a highly organized and experienced Home Health Intake Coordinator - Eligibility & Authorization Specialist to join our growing team. This is not a traditional intake-only position. While referral intake and admission coordination are important aspects of the role, the primary focus is ensuring patients are eligible for services, insurance benefits are accurately verified, and all required authorizations are secured prior to admission. The ideal candidate will have prior experience working in a Medicare-Certified Home Health Agency and possess a strong understanding of Medicare, Medicare Advantage, Managed Care, and commercial insurance plans. This position serves as a critical link between referral sources, payers, patients, and our clinical team to ensure timely admissions and uninterrupted patient care. Primary Responsibilities Insurance Eligibility & Benefits Verification Verify insurance coverage and benefits for all incoming referrals. Review Medicare eligibility and Home Health benefit status. Verify Medicare Advantage, Managed Care, PPO, and secondary insurance coverage. Determine payer-specific requirements, visit limitations, and authorization needs. Accurately document insurance information and eligibility findings within the EMR. Authorization Management Obtain initial authorizations and authorization extensions as required. Monitor approved visits and authorization utilization. Follow up with insurance companies regarding pending authorizations. Resolve authorization issues that may delay admissions or ongoing patient care. Maintain accurate authorization records and payer documentation. Referral Intake & Admissions Coordination Receive and process referrals from hospitals, physicians, skilled nursing facilities, assisted living facilities, and community referral sources. Review referral documentation for completeness and admission readiness. Coordinate with clinical leadership to facilitate timely Start of Care scheduling. Ensure all required documentation is obtained prior to admission. Staffing & Scheduling Support Assist with Start of Care scheduling and clinician assignments. Coordinate admission logistics with field staff and clinical managers. Communicate referral priorities and urgent admission needs. Referral Source & Patient Communication Serve as a professional point of contact for referral sources, patients, families, and insurance representatives. Maintain positive relationships through timely communication and follow-up. Provide exceptional customer service while managing multiple priorities. QualificationsRequired Minimum 2 years of experience in a Medicare-Certified Home Health Agency.

Experience with:

Insurance Verification Eligibility Determination Prior Authorization Management Referral Intake Admissions Coordination Strong understanding of: Medicare Home Health benefits Medicare Advantage plans Managed Care and Commercial insurance Home Health admission requirements Experience using Home Health EMR systems such as: Axxess Experience working with multiple insurance payer portals. Bilingual (English/Spanish) is a plus. Skills & Competencies The ideal candidate is: ✔ Detail-oriented and highly organized ✔ Comfortable working in a fast-paced environment ✔ Skilled at multitasking and prioritizing urgent referrals ✔ Knowledgeable about Home Health insurance requirements ✔ Professional and confident when communicating with payers and referral sources ✔ Able to work independently while collaborating with the clinical team ✔ Committed to ensuring timely patient admissions and excellent customer service Why Join Unique Home Health Services? Established Medicare-Certified Home Health Agency Supportive team environment Opportunity for professional growth and advancement Meaningful work that directly impacts patient care Competitive compensation based on experience Ideal Candidate If you are the person who can quickly answer: Is this patient eligible for Home Health services? Does this payer require authorization? How many visits have been approved? Can we admit this patient today? What documentation is still needed? Then we would love to hear from you. Home Health Insurance Verification, Eligibility, and Authorization experience is the most important qualification for this position.

Pay:

$32.00 - $35.00 per hour

Benefits:

401(k) Health insurance Paid time off

Experience:

Home Health Agency:

1 year (Preferred)

Work Location:

In person