Pre-Service Coordinator

Job Summary

A company is looking for a Pre-Service Coordinator responsible for referral management and processing requests for homecare and related services.

Key Responsibilities

• Manage and process inbound referrals and correspondence for homecare, DME, and pharmacy services
• Verify benefits coverage and eligibility, and communicate referral status to members and providers
• Maintain documentation of interactions and ensure compliance with applicable regulations and guidelines

Required Qualifications

• 1-3 years of experience in Home Health, DME, or Infusion Pharmacy
• Knowledge of Medicare/Medicaid and commercial insurance
• Experience with medical authorizations
• Technical experience with Microsoft Office (Word, Outlook, Excel) preferred
• Knowledge of medical billing is preferred