Eligibility Specialist
Description
Company Conformance Statements
In the performance of their respective tasks and duties all employees are expected to conform to the following:
- Perform quality work within deadlines with or without direct supervision.
- Interact professionally with other employees, customers and suppliers.
- Work effectively as a team contributor on all assignments.
- Work independently while understanding the necessity for communicating and coordinating work efforts with other employees
Pay Range: $19-$21 per hour
Position purpose
Responsibilities/Duties/Functions/Tasks:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Pull and analyze insurance eligibility within a timely manner.
- Communicate insurance changes with appropriate staff.
- Upload insurance documents to client’s profiles.
- Make outbound calls to customers in regard to insurance changes and updates.
- Communicate issues as they arise to the team.
- Communicate in a professional manner.
Qualifications
Education: High School Diploma or equivalent
Experience: Sufficient knowledge with Medical Insurance policies preferred. Previous employment from a Medical Insurance Company or Insurance Verification position held with another company.
Performance Requirements:
- Knowledge of organization policies, procedures, systems.
- Superior interpersonal skills.
- Ability to manage multiple and changing projects rapidly and effectively.
- Ability to handle confidential information with discretion and adapt to competing demands.
- Ability to think strategically, solve problems and propose solutions.
- Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate practice management software.
- Organized and detail-oriented self-starter.
- Strong sense of personal integrity.
Equipment Operated: Standard office equipment including computers and telephones
Work Environment: Position will train in the corporate office.
Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with an Eligibility Specialist such as sitting for 90 percent of the day; Able to handle deadlines and any associated stress triggered by multiple staff demands and deadlines.