Jobs at Graham Healthcare Group

Reviews patient data, OASIS documentation, plans of care, orders, coding, and visit assessments for accuracy, completeness, utilization, and regulatory compliance. Verifies visit frequency and clinical content, monitors workflow timeliness, addresses documentation alerts, collaborates with clinicians, coding partners, providers, and facilities, and escalates documentation improvement opportunities. The role supports quality clinical care and patient outcomes in a fully remote home health environment.

Verifies patient insurance benefits, eligibility, liabilities, and authorization requirements before home healthcare services begin. Documents payer information in Homecare Homebase, monitors verification and authorization workflows, obtains initial and ongoing authorizations, researches discrepancies, and communicates with insurers, patients, hospitals, physicians, clinical staff, scheduling, and billing. Reverification of coverage, Medicaid status, and payer changes is performed regularly to prevent claim delays and write-offs.

Verifies patient insurance benefits, eligibility, deductibles, copays, and liability; obtains initial and ongoing authorizations; documents payer information in the EMR; monitors authorization and insurance workflows; resolves coverage discrepancies; communicates with insurers, patients, hospitals, physician offices, clinical staff, scheduling, and billing; and supports accurate funding-source updates and claim submission.