Eligibility and Authorization Coordinator

Minimum 3 years experience in billing in the medical, psychological or human services field. Enters authorizations and insurance billing data as required by Medicare, Medi-Cal and Insurance companies.

Busy, local healthcare company in Bakersfield is looking for an Eligibility and Authorization Coordinator! This Eligibility and Authorization Coordinator will:

• Inquire on initial eligibility and and obtains authorization for services
• Performs monthly eligibility for ongoing authorization for extended services
• Enters authorizations and insurance billing data as required by Medicare, Medi-Cal and Insurance companies
• Receives all calls and emails for authorization of services from field staff and case managers
• Posts and verifies entry of all discipline visits and related charges
• Communicates with the intake department and the staff for the authorization of services
• Establishes and maintains relationships with patients, employees, payors and customers

This is a long-term, full-time, temp to hire position in Bakersfield, CA! The hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. This company offers an excellent benefit package. 

Requirements:

Minimum 3 years experience in billing in the medical, psychological or human services field

Strong understanding and principles of Medicare, Medi-Cal, Insurance and private payer billing

Medical Terminology

Proficient data entry skills

Experience in HMO/PPO/Insurance authorization and eligibility procedures

ICD-9, ICD-10, DPT, and DSM-IV codes

Familiar with HCPCS codes

Ability to navigate insurance payor portals

Compliance issues as they relate to HIPAA

High school graduate

Valid California Driver’s License

Proof of valid automobile insurance