Eligibility & Pre-Billing Coordinator (34247)

Bring your billing expertise to a mission that matters.

At The Care Team Hospice, great care starts with strong support behind the scenes. We are looking for an organized and detail-oriented Eligibility & Pre-Billing Coordinator to help ensure hospice and palliative care services are authorized, eligible, and fully collectible before billing is generated.

If you have experience navigating insurance portals, authorizations, NOA/NOE submissions, and EMR documentation—and want to apply those skills in a purpose-driven healthcare environment—this role is for you.

What You’ll Do

As the Eligibility & Pre-Billing Coordinator, you will:

• Determine patient eligibility for insurance benefits prior to start of care
• Run and review eligibility information through payer portals and update demographics and payor set-up accordingly
• Obtain and coordinate pre-certifications and authorizations for commercial, Medicaid, and other authorization-driven payors
• Submit required notices including NOA, NOE, and other regulatory payer communications
• Validate and submit clinical data such as OASIS and HIS assessments, ensuring timely acceptance
• Track denied visits, episodes, and room-and-board eligibility, including managing lock-ins and lock-outs
• Maintain accurate logs of denials and authorization activity
• Collaborate with clinical teams to update notes with key eligibility details
• Reverify eligibility periodically to support ongoing compliance
• Run reports and follow Standard Operating Procedures to ensure revenue is collectible
  
  

Your work directly supports the Billing Team and helps protect continuity of care by preventing delays in reimbursement.

What You Bring

You’re someone who thrives on accuracy, process, and problem-solving. You understand that strong revenue cycle coordination is essential to keeping hospice services available for patients and families.

Required Qualifications

• High school diploma or equivalent
• At least 1 year of experience in billing, authorizations, or eligibility coordination
• Strong knowledge of insurance verification processes
• Ability to work efficiently with payer portals and EMR systems
• Excellent attention to detail and time-management skills
  
  

Preferred Experience

• Hospice and Physician Services/Palliative pre-billing experience is strongly preferred
• Experience with Medicare, Medicaid, and commercial insurance verification
• Familiarity with Homecare Homebase (HCHB) or similar healthcare EMR platforms
• Understanding of out-of-network benefit approvals and self-pay authorization set-up
  
  

Field & Regulatory Requirements

• Valid driver’s license
• Ability to pass a criminal background check and Motor Vehicle Record (MVR) check
• Completion of required health statement acknowledging ability to perform job duties
  
  

Why Join Us?

The Care Team Hospice offers a supportive environment where your professional skills make a real difference.

• Competitive pay
• Comprehensive medical, dental, and vision benefits
• 401(k) with employer match
• Paid time off and paid holidays
• Mileage reimbursement per company policy
• Tuition reimbursement and opportunities for career growth
• Strong leadership and interdisciplinary support
  
  

If this role speaks to you, we encourage you to apply. At The Care Team Hospice, we value diversity, inclusivity, and the unique experiences each person brings to our mission. We are committed to equal opportunity and will gladly provide reasonable accommodations throughout the hiring process. If you meet the qualifications for this role—or any other position we have open—our recruiting team will reach out.

We can’t wait to learn more about you!