Senior Associate, Insurance Eligibility

BAYADA Home Health Care is seeking a full time Insurance Confirmation Senior Associatein our Insurance Confirmation Home Health office. This is a remote opportunity.

The Senior Associate Eligibility is responsible for obtaining insurance benefits and verifying insurance eligibility and home care benefits. This position will serve as a liaison between the service office providers insurance carriers and revenue cycle management functions. A high level of customer service and support is required to effectively communicate eligibility status. The Senior Associate will also provide mentorship and educational support to team members.

Preferred location: Central or Pacific Time Zones Hours: 8:30am - 5:00pm

Responsibilities:

• Verify eligibility and care benefit information for designated referrals including but not limited to deductibles
  co-pays policy limitations exclusions lifetime maximums and billing addresses.
• Communicate with the appropriate service office and coordinator when insurance benefits are not adequate
  when out-of-pocket expenses are high when a policy does not require pre-certification when a client is not
  eligible or there are overall plan changes. Update files appropriately.
• Perform eligibility checks thoroughly and in a timely fashion.
• Enter plan information for all referrals not requiring a benefit confirmation.
• Reconfirm benefits for all active clients on a reoccurring and/or ad hoc basis as required.
• Collect completed payor forms from service office and send them to appropriate department/insurance to
  release benefit and financial info on clients as needed.
• Identify if a service office is credentialed and contracted with insurance.
• Clearly document all benefit and billing information in appropriate systems.
• Identify when insurance representatives misquote benefits and assist them in retrieving accurate information.
• Post benefit confirmations to the service offices.
• Inform collections of changes to client billing information update bill-to numbers and answer billing-related
  questions as needed.
• Complete insurance verifications to identify changes in benefit eligibility.
• Obtain eligibility documents from payors or third-party systems to substantiate billing requirements especially
  for coordination of benefit procedures.
• Assist offices in relaying benefit information to clients if necessary.
• Able to work 10:30am - 7:30pm EST

Qualifications:

• Four (4) year college degree.
• Two (2) to four (4) years of relevant work experience with growing responsibilities.
• • Minimum 1 year of benefit experience
• Prior healthcare and/or home care experience preferred.
• Proficient knowledge of insurance benefits and contracts.
• Demonstrated record of strong interpersonal skills and building relationships.
• Ability to work independently motivate and be self-motivated and flexible.
• Strong customer service skills and demonstrated commitment to quality in all customer encounters.
• Demonstrated record meeting and/or exceeding goal achievements.
• Proven ability to multitask and manage competing priorities.
• Good analytical skills with the ability to problem solve and exhibit good judgement
• Must have Managed Medicare and Managed Medicaid experience
• Superb customer service and telephone skills
• All hands-on deck attitude
• Overall professional demeanor and presentation
• Strong PC skills
• Alignment with our core values of compassion excellence and reliability

Base Pay: $24.00-27.00 per hour depending on qualifications

Why youll love BAYADA:

• BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business.
• Award-winning workplace: proud to be recognized as a Best Place to Work by Newsweek Forbes and Glassdoor.
• Weekly pay
• AMAZING culture:we are a mission driven nonprofit organization focused around three core values of compassion reliability and excellence.
• Strong employee values and recognition: we utilize a BAYADA Celebrates page for daily recognition along with Hero spotlights Key Action of the Week meetings to connect back to our mission and celebrate staff discounts/perks and partnerships an Awards Weekend trip and more.
• Diversity equity inclusion and belonging:Join groups like our Women in Limitless Leadership Employee Resource Council Lean In circles Racial and Ethnic Diversity (RED) Council Pride LGBTQIA Council Military Community Network Solutions and Accessibility for Equality (SAFE) Council Fostering Acceptance Inspiring Trust and Harmony (F.A.I.T.H) and more.
• Growth opportunities: advancement opportunities continued education opportunities Udemy courses webinars and more
• Check out our blog: BAYADA Home Health Care offers a comprehensive benefits plan that includes the following: Paid holidays vacation and sick leave vision dental and medical health plans employer paid life insurance 401k with company match direct deposit and employee assistance learn more about BAYADA Home Health Care benefits an accredited regulated certified and licensed home health care provider BAYADA complies with all state/local mandates.

  BAYADA is celebrating 50 years of compassion excellence and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

  BAYADA Home Health Care Inc. and its associated entities and joint venture partners are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex race color age disability pregnancy or maternity sexual orientation gender identity citizenship status military status or any other similarly protected status in accordance with federal state and local laws. Hence we strongly encourage applications from people with these identities or who are members of other marginalized communities.