Insurance and Benefits Verification Associate

Job Description

Job Description

Keystone Care is seeking a dedicated Insurance and Benefits Coordination Associate for our Home Care division, where you will play a crucial role in coordinating the flow of patients into our care system. As the first point of contact, you will educate potential patients and referral sources about our services, manage all referrals, ensure accurate information gathering, and facilitate the assignment of cases to appropriate clinical resources. Your efforts will directly contribute to the comfort and well-being of our patients.

See what it's like to work for KeystoneCare:

KeystoneCare is an Equal Opportunity Employer

Primary Job Responsibilities:

• Receive and manage referrals via phone calls, emails, and referral networks.
• Educate patients and referral sources about the agency's services and capabilities.
• Assess the agency's ability to accept referrals based on location, clinical requirements, and patient insurance.
• Accurately enter patient information into the Electronic Medical Record system.
• Distribute patient assignments to clinical teams based on patient needs and staff availability.
• Ensure timely initiation of patient care in accordance with regulatory and agency timelines.
• Maintain effective communication with patients, caregivers, and referral sources regarding care initiation and any changes.
• Adjust clinical staff schedules in the event of planned and unplanned absences.
• Provide support and direction to ensure nurses meet daily and weekly productivity goals.
• Deliver exceptional customer service to all internal and external stakeholders.
• Maintain strict confidentiality regarding patient information.
• Perform additional duties as assigned by the management team.

Requirements

• 3+ years' intake experience with a healthcare organization, preferably in home health or hospice environments.
• Ability to multitask in a fast-paced environment and communicate effectively.
• LPN preferred.
• Strong customer service skills and a proven ability to collaborate with healthcare professionals, patients, and families.
• Excellent data entry and scheduling skills.
• Self-starter capable of working both independently and as part of a team.
• Familiarity with electronic documentation systems.
• Proficient in Microsoft Office products, including Word, Excel, and Outlook.
• Proof of COVID-19 Vaccination or an approved Medical or Religious exemption.
• Proof of Influenza (Flu) Vaccination or an approved Medical or Religious exemption.

Benefits

• Lunch provided daily
• Accrued Paid Time Off
• Paid Holidays
• Medical, Dental, Vision, and Aflac plans available
• $25K Company Paid Life Insurance Policy
• Retirement plan with discretionary employer match