Pre-Service Coordinator

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