Summary
At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people.
We strive to offer benefits that reward the whole you!
- employee wellness programs
- flexibility for true work-life balance
- holidays & paid time off
- continuing education & career growth opportunities
- company-wide support & resources to help you achieve your goals
Take your career to a new level of caring. Apply today!
Responsibilities
- Verifies insurance eligibility and benefits of prospects/ referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
- Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with our agencies.
- Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to agency in an accurate and timely manner.
- Reviews and replies to branch location’s urgent requests in a timely and accurate manner.
- Initiates one time letters of agreement (LOAs) and negotiates rates as dictated by established policies and procedures in a timely manner.
- Obtains all authorization as needed from payer for services ordered/requested in a timely manner.
- Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
- Serves as a liaison between the branch location and the payer on a regular basis.
- Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
- Manages work assignment to ensure all tasks and coordination notes are completed in a timely manner.
- Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
- Problem solves independently before referring issues to the Supervisor/Manager for resolution.
- Performs eligibility and or similar, comparable, or related duties as may be required or assigned.
Education and Experience
Formal Education
- High School Diploma or equivalent
Experience
- 1 year
- Insurance verification and authorization experience required.
- Revenue cycle experience desired.
Skill Requirements
- Excellent oral and written communication skills.
- Excellent organizational and analytical skills.
- Independent thinker.
Skills Desired
- Basic PC skills including PC based applications (MS Word, Excel).
- Mathematical aptitude.
- Detail Oriented