Pre-Service Coordinator

A company is looking for a Pre-Service Coordinator responsible for managing referral requests for homecare, DME / supplies, and pharmacy / infusion services.

Key Responsibilities

Process and manage inbound referrals, ensuring all necessary documentation is complete

Verify benefits coverage and eligibility for services according to Health Plan contracts

Educate members and providers on referral management and communicate final determinations

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