Job description

Position: Eligibility and Authorization Coordinator

Avia Billing Inc., a dynamic and growing home healthcare medical billing company is looking for an exciting addition to our team! The Eligibility and Authorization Coordinator will continue and help develop the daily operations and strategic objectives of the Company’s onboarding process with regard to accepting patients. More specifically, they will check a patient's active coverage with the insurance company and verify the authenticity of his or her claims

We have been in the business for over 10 years now where we use our industry knowledge and experience to help home health agencies navigate the complex world of medical billing, nationwide. Some of our services include fighting unfair payment practices, challenging negligent utilization reviews and improper denials by health plans, and helping patients get the services they need.

We have openings for people who have skills in analytics, advocacy, claims compliance, administrative support, business development and more.

Essential Duties and Responsibilities:

• Must maintain professional etiquette working with external customers and interacting with staff.
• Must be proficient in Microsoft Office programs – excel, word, PowerPoint, etc.
• Must be able to research claims, eligibility, and compliance items raised by physician practices.
• Ability to handle provider concerns in an empathetic and caring manner.
• Assistance in handling provider status change requests, including terminations, adding of providers, address change, telephone change, etc.; Ensure the accuracy of all assignments related to provider changes and complete all requests in a timely manner.
• Act as liaison between internal departments and external entities to effectively communicate and follow-up in a timely manner to resolve provider inquiries and requests.
• Review providers’ add, termination, and demographic update requests.
• Identify providers’ data error and coordinate with responsible parties to correct.
• Perform other duties as necessary or assigned by the Manager/Director.

Education and Knowledge:

• Knowledge of managed care and out-patient billing for out of network patients
• Knowledge of out of network claims processing and billing
• Insurance terminology essentials.
• Proficiency in Microsoft Office (Word, Excel) skills

Experience:

• Any relevant experience is helpful, we will also provide in depth paid training.

Job Type: Full-time, 8 hours per day, 5 days a week, no remote work

Benefits: after probationary period, full health benefits, paid leave, etc.

Pay: $21-$25 per hour (depending on experience)

Job Type: Full-time

Pay: $21.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Ability to commute/relocate:

• Toluca Lake, CA 91602: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: In person

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