What are the responsibilities and job description for the Eligibility Specialist position at LandrumHR?
Eligibility Specialist
The Woodlands Medical Specialists in Pensacola is looking for a full-time Eligibility Specialist to relay the most positive and professional image possible to patients visiting this growing practice.
This is an excellent opportunity for someone with superior communication and customer service skills to join a supportive and friendly company.
What you’ll be doing to make an impact :
- Verifying eligibility for all patients, calculating accurate time of service and obtaining insurance referrals / authorizations
- Check eligibility for office visits, procedures and / or drugs via insurance company website or via phone call to insurance rep
- Ensure insurance is correctly entered into Practice Management system by check in / check out or scheduling staff and make corrections as needed
- Respond to TOS requests from check in
- Monitor email for add-ons and calculate TOS for add on appointments
- Call patients when additional information is needed to check eligibility (new insurance information or policy number information)
- Obtain authorizations when required per Medical Policy
- Monitor emails from A / R team to research reasons for non-payment from insurance denials
- Calculate correct TOS. Review account for old Greenway balances and credits, check all appointments for date you are calculating for each division and factor that into final TOS balance
- Obtain retro authorizations when needed
- Consistently demonstrating appropriate attention to detail and following through on outstanding tasks within an expected or reasonable timeframe
- Partner with Care Coordinator(s) to ensure the patient is always taken care of timely
- Partner with clinic(s) to ensure they have what they need prior to the patient’s scheduled visit
What you’ll bring to the table :
- High School Diploma or GED
- No specialized billing experience required but basic insurance knowledge desired
- 1-3 years of working in healthcare field needed
- Ability to add, subtract, multiply and divide in all units of measurement
- Ability to calculate figures and amounts such as percentages
- Basic computer skills are required
- Ability to juggle multiple priorities at once and be extremely detail oriented
- Position does not lift anything but will need to be able to sit for long periods of time
What’s in it for you :
- For this position, starting pay is $17 / hour
- Monday through Friday, 8 : 00 am to 5 : 00 pm with 1 hour for lunch
- Potential to showcase what you can do and possibly earn a position within the company after working 600 hours with LandrumHR
- After meeting the qualification requirements, employees are offered through LandrumHR : Health, Dental, and Vision Insurance and matching 401k
LandrumHR Workforce Solutions is an equal opportunity employer and, in compliance with all federal and state civil rights laws, makes every effort to employ and promote the most qualified individuals without regard to race, color, religion, sex, national origin, age, handicap, disability, veteran status, marital status, or any other protected class.
Salary : $17
