Eligibility and Authorization Coordinator – Home Health

Eligibility and Authorization Coordinator – Home Health

Location: GrandCare Health Services – Remote
Pay Range: $20 - $25/hour
Schedule: Full Time, 8am-5pm or 8:30am-5:30pm Pacific Standard Time

At GrandCare Health Services, we are a leader in post-surgical rehab.  We deliver expert compassionate care in the comfort of your home.  GrandCare proudly services Southern California with a commitment to dignity, respect, and patient well-being. This is primarily orthopedic rehab provided in our patients’ homes, NOT your typical home health patient population.

GrandCare offers you the opportunity to join a close-knit team, focused on patient outcomes, patient satisfaction, and professional growth.

Clinicians who work with GrandCare can specialize in orthopedics, neuro, and pain to truly see their patients improve. By giving our clinicians the tools, support, and independence to do what they do best, they are able to meet their professional goals and maintain the highest levels of employee satisfaction. Please look at our Yelp reviews to see the difference we are making in communities throughout Southern California!

BENEFITS

• Competitive compensation
• Health, dental, vision, life, and disability insurance
• 401(k) plan with generous company match
• Critical illness benefit
• Paid time off
• Employee assistance program

JOB SUMMARY

The Eligibility and Authorization Coordinator position is responsible for verifying insurance eligibility and obtaining authorizations in an accurate and efficient manner in addition to routine clerical matters as well as responsible for managing all aspects of the authorization process, maintaining and protecting of clinical records and providing intake support. This includes establishing and maintaining positive relationships with providers and referral sources and verifying insurance and authorization processes.

DUTIES AND RESPONSIBILITIES

• • Verifying Insurance Eligibility; renewing and confirming accurate payer sources for each referral received.
  • Answers Insurance and Intake inquiries and channels them appropriately.
  • Manages authorization process: including the monitoring of incoming and outbound phone calls from/to providers regarding status of requests, new requests, office referrals and eligibility.
  • Obtains and provides clinical information as needed for securing authorizations according to policy.
  • Communicate effectively with field and scheduling staff regarding authorization status.
  • Provides back up support to Intake Coordinator and Scheduling Coordinator.
  • Protects the confidentiality of patient and organization information.
  • Maintains working knowledge of state, federal and CHAP documentation regulations and serves as a resource for appropriate company staff.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.  The employee may be requested to perform job-related tasks other than those stated in this description.

• JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
  • At least one year of experience in insurance eligibility and authorizations, and/or intake, preferably in home health care operations.  Information systems knowledge required.
  • Knowledge of corporate business management and governmental regulations
  • Demonstrates good communication skills and public relations skills.
  • Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.

Why Join GrandCare?

GrandCare Health Services is part of the Cornerstone Group, a network of 75+ home health and hospice agencies nationwide. While we benefit from the strength of a larger organization, we operate with the heart of a local team. We believe our employees are our greatest asset—and we’re committed to fostering a culture where you can thrive.

We live by our CAPLICO Core Values:

• Celebration
• Accountability
• Passion for Learning
• Love One Another
• Intelligent Risk Taking
• Customer Second
• Ownership

If you're passionate about patient care and want to help build the best post-surgical rehab team in Southern California, we’d love to meet you!