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
PreService Coordinator • Aurora, Illinois, United States