Financial Counselor

Insurance Verification and Authorization Management :

• Conduct pre-admission commercial insurance verification to determine patient eligibility and coverage.
• Complete post-admission insurance benefit checks to confirm hospice services are covered and documented.
• Submit initial authorization requests for commercial insurance hospice admissions, including follow-up until approved.
• Submit and manage re-authorization requests for ongoing hospice care with commercial payers.
• Track all authorization requests, approvals, denials, and expirations, ensuring timely renewals and updates.
• Maintain and distribute authorization tracking reports to internal departments as needed.
• Initiate and follow through on appeals of authorization denials, coordinating with providers and payers.

Admissions and Medicaid Support :

Patient & Family Support :

Collaboration and Documentation :

Equal Opportunity Employer

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