Intake Medicare Coordinator

Work Where You Matter!

At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.

Intake Medicare Coordinator

Position Overview

The Intake Medicare Coordinator is responsible for verifying Medicare benefits, managing certification periods, and coordinating patient transfers, including collaboration with other hospice agencies to ensure accurate benefit determination and timely documentation. This role partners closely with clinical, sales, intake, and billing teams to provide complete and accurate payer information, maintain regulatory compliance, and support daily referral workflows. Success in this position requires strong attention to detail, problem-solving skills, and the ability to manage high-volume work across multiple systems while identifying opportunities to improve processes, efficiency, and overall operational performance.

Essential Functions and Skills
Responsibilities

• Complete daily workflow activities related to Medicare eligibility verification for 100+ or more referrals per day.
• Coordinates all internal and external hospice transfers, ensuring continuity of care and accurate benefit period determination.
• Review, validate, and correct information identified through the eSolutions reporting process.
• Collaborate effectively with hospice agencies, clinical staff, sales teams, intake personnel, and billing staff to obtain accurate benefit and eligibility information.
• Verify Medicare certification periods and ensure compliance with applicable Medicare regulations and documentation requirements.
• Obtain, review, and maintain transfer documentation necessary to support accurate billing and reimbursement.
• Utilizes multiple technology platforms and information systems to efficiently manage workflow and maintain data integrity.
• Identify opportunities for process improvement and contribute to operational efficiency initiatives.
• Assist with Medicaid, Commercial, VA, and other payer verification activities as needed.
• Support Intake Department operations, including referral entry, scheduling evaluations, and accepting referrals via telephone.
• Work collaboratively with team members to ensure referrals are processed and prepared for evaluation within established timelines.
• Participate in ongoing training and process improvement initiatives.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities

• Strong verbal and written communication skills.
• Strong analytical, organizational, and problem-solving abilities.
• Proficiency with Microsoft Office applications, including Word and Excel.
• Experience with Electronic Medical Records (EMR) systems preferred.
• Working knowledge of office equipment, including fax machines, printers, photocopiers, and telephone systems.
• Ability to interact professionally and tactfully with patients, families, referral sources, coworkers, and community partners.
• Demonstrated customer service and critical thinking skills.
• Ability to work independently while effectively collaborating within a team environment.
• Demonstrates autonomy, organization, flexibility, and cooperation in performing job responsibilities.
• Ability to process and manage 100+ or more Medicare eligibility verifications daily while maintaining a high degree of accuracy.
• Ability to prioritize competing demands and meet deadlines in a fast-paced environment.
• Ability to support team objectives and ensure Medicare verifications are completed within required timeframes.
  

Qualifications

Requirements/Qualifications

• Associate degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field preferred.
• 3+ years of experience in insurance verification, eligibility determination, or medical billing, including Medicare, Medicaid, Commercial, and VA benefits.
• 2+ years of accounting, reimbursement, and billing procedures and processes.
• Experience working within healthcare, hospice, home health, or related healthcare environments preferred.
• Ability to pass DHS background study

Preferred

• Experience verifying hospice Medicare certification periods within a hospice organization.
• Associate degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field.
• Knowledge of hospice Medicare regulations, benefit periods, and reimbursement methodologies.

Physical Requirements & Working Conditions
The physical requirements described are representative of those that must be met to
successfully perform the essential responsibilities of this position. Reasonable accommodation may be made.

• Pushing/Pulling and Lifting/carrying up to 10 pounds.

The hourly base range for this role is $26.00-$28.00/hour. This range is a good faith estimate; we may pay more or less than the posted range, and this range may be modified in the future. Actual compensation packages take into account a wide range of factors that are unique to each candidate, including but not limited to geographic location; skill sets; relevant education and certifications; depth of experience; performance; and other business and organizational needs. The total compensation package for this position may also include the opportunity to participate in employee benefits including our medical/dental/vision insurance and 401(k) retirement plans, subject to applicable plan terms, and/or eligibility for other compensation.