Pre-Claim Coordination Specialist

We are seeking a detail-oriented and highly organized Pre-Claim Coordination Specialist to join our team. Pre-Claim Coordination

Specialist play a crucial role in the Home Health and Hospice claims process and are essential to ensuring claims are ready for billing submission. The Pre-Claim Coordination Specialist will conduct daily reviews of holds in various areas, collaborating closely with agencies and the billing team to resolve issues efficiently, prevent billing delays, and support timely and compliant claim submission.

Responsibilities and Duties:

• Monitor and resolve pre-claim holds to prevent billing delays
• Manage assigned tasks through the ticketing/workflow system and ensure timely completion
• Communicate with agency staff and the billing team to obtain needed follow-up and resolve issues
• Maintain accurate documentation and updates within the ticketing system
• Establish and maintain positive working relationships with agency staff and coworkers
• Support organizational culture by promoting a Friendly, Positive, and Excellence-Focused environment
• Perform other duties as assigned

Competencies:

To perform the essential functions of this position successfully, an individual must demonstrate the following competencies:

• Proficiency in verbal, written, and computer skills
• Excellent communication, organization, and follow-up abilities
• Ability to manage multiple assignments simultaneously
• Strong attention to detail and the ability to work independently

Job Qualifications:

• Minimum of one (1) year of medical office experience required
• Knowledge of home health and/or hospice operations preferred

Physical Requirements:

• Regularly required to walk, sit, stand, bend, reach, lift, and move about
• Ability to communicate effectively, both orally and in writing

Schedule:

• Full-Time

• 8 Hour Shifts

• Monday - Friday