Job Description

Job Location: South Charlotte Office - Charlotte, NC 28226
Position Type: Full TimeEducation
Level: 2 Year Degree
Travel Percentage: Local Travel
Job Shift: Day
Job Category: FinanceVIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care.  More importantly, we are proud to be a community-based, not-for-profit hospice & palliative care provider.  We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people-first organization whose funds go to serve our mission.
Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.
We provide excellent benefits including:
- Medical, Vision, and Dental plans through BCBS
- 28 days of Paid Time Off
- Excellent mileage reimbursement rate
- 403b Retirement plan with matching
- Focused programs honoring Veteran patients
- Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
- Best Orientation and Onboarding program you’ve experienced
- Seasoned Hospice leaders guiding your career growth

Summary
Responsible for obtaining hospice and specialist authorizations for Medicaid & commercial payors through NCTracks, insurance portal, and/or phone call, faxing requested documentation, managing re-authorizations to ensure there is no lapse in authorizations.
Essential Functions
- Authorizations
- - Obtain authorization for hospice & palliative patients for NC & SC Medicaid, Managed Medicaid, & commercial payors
- - Submit requested forms and/or medical records per payor’s requirement
- - Monitor workflow to submit timely reauthorization requests
- Other Functions
- - Complete Financial worksheet to determine subsidy qualification.
- - Process Self-Pay/Charity R&B workflow and set-up.
- Insurance Verification
- - Assist with verification of Medicare, Medicaid, Managed Medicaid, & Commercial Payors eligibility and/or benefits through a clearinghouse, insurance portal, and/or phone call as needed
- May perform other duties as required

Qualifications
Minimum

Qualifications
- Associate’s Degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
- Minimum 3 years’ experience obtaining authorization & insurance verification (Ancillary & Professional services preferred)
- Minimum 1 years’ experience with NCTracks, Managed Medicaid, & Commercial Insurance web portals
- Excellent communication skills – Employee will need to speak with provider offices & insurance companies