Eligibility Billing

Description

Join our team where Healthcare is reimagined!

We are looking for an Eligibility Billing to join our team. We are an established practice that is continually growing. Work with our well-respected group serving the community for many years. Whether starting your career or looking to share your knowledge with others, we are the place for you!

What makes us different?

While working at our Company, a Parallel ENT & Allergy Company, you will enjoy great perks, such as a great work schedule (no weekends), excellent benefits package, and PTO. We strive to maintain an environment where our employees can grow and further their skills and careers while being a part of a strong team.

• Responsible for the patient insurance verification process to ensure proper payment from insurers, provider assistance to reduce out-of-pocket expenses related to all services performed
• Coordinate Referrals
• Tracking Referrals
• Self-Pay Rates
• Policy and Procedures
• Cross-Departmental Support/Collaboration
• Perform insurance verification checks at least three days prior to patient appointment
• Ensure “primary” and “secondary” valid insurance designations are accurately represented in electronic health record
• Contact patient when insurance checks result in invalid status and establish strategy for addressing gaps (referrals to services, possibly rescheduling patient until insurance matters have been resolved, etc.)
• Ensure patient demographics are maintained with updated information.
• Assess patient for eligibility for Medicaid, Medicare, and private insurance available through websites
• Provide all the required medical history information regarding the patient to the PCP to facilitate referral request
• Enter all the referral information into the electronic medical record system.
• Keep track of patient/client referrals in the system and follow up with clients who need referrals
• Communicate directly with patients and with staff who submit billing and reimbursement questions through the patient portal.
• Responsible for maintaining confidentiality of all patient, client, employee, protected and proprietary information.
• Employees are accountable for meeting the performance standards of their departments and must participate as requested in compliance audits, process improvement and quality improvement plans.
• Other duties as assigned

Qualifications:

• High School Diploma or GED is required
• Ability to thrive in a fast-paced environment
• Excellent customer service and computer skills
• Strong verbal and written communication skills
• Friendly, personable demeanor
• Detail oriented
• Ability to multi-task
• Strong problem solving skills
• Medical Billing experienced preferred but not required
• Preference for specialty medicine billers

We are committed to a diverse and inclusive workplace. The Company is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or another legally protected status.

Qualifications