Analysis Skills, Billing, Clinical Support, Communication Skills, Computer Skills, Depth Perception, Electronic Medical Records, Establish Priorities, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, High School Diploma, Insurance, Office Equipment, Office Management, Patient Care, Physical Demands, Presentation/Verbal Skills, Problem Solving Skills, Regulations, Work From Home, Writing Skills
Position Title: Eligibility Specialist
Supervisor: Patient Access Manager
FLSA Status: Non-Exempt
Mission:
To provide our patients and community the most innovative and breakthrough treatment options to improve overall health and wellness.
Values:
Patient Experience
Innovation
Integrity
Teamwork
Job Summary:
The Eligibility Specialist performs a wide variety of clinical and program support activities including checking insurance to ensure ability to be billed. Duties of this role include, but are not limited to:
- Verifies insurance eligibility and benefits for clinic and surgery centers to ensure that it is active and billable.
- Obtains and verifies insurance referrals as appropriate.
- Investigates and coordinates benefit and insurance errors.
- Complies with organizational and HIPAA policies and regulations to ensure patient care is kept confidential.
- Performs miscellaneous job-related duties and tasks as assigned.
- Assists with new patient scheduling and creation of charts within EMR system
- Collaborates with all departments to ensure accuracy in work.
Supervisory Responsibility:
This position has no supervisory responsibilities.
Qualifications:
- High School Diploma or GED required. Bachelor’s Degree preferred.
- One year of current insurance eligibility experience in a healthcare environment is preferred.
Skills & Abilities:
- Good writing, analytical, and problem-solving skills.
- Ability to effectively communicate and prioritize duties.
- Ability to follow oral and written instructions.
- Ability to operate standard office equipment.
- Strong computer skills.
- Ability to work well whether independently or as part of a team.
- Knowledge of principles and practices of basic office management and organization.
Work Environment:
While performing the duties of this job, the employee works in an office setting. THIS IS NOT A REMOTE JOB!
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to grasp or handle objects, tools, or controls; reach with hands and arms; stoop, kneel, or crouch; talk or hear. The employee must occasionally lift or move up to 20 pounds. Must be able to sit for at least 90% of the day. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
Compensation & Work Schedule:
- Full-time: 40 hours/week.
- Non-Exempt.
- Day Shift: Monday - Friday, 8:30AM - 5:00PM
- No evenings or weekends. A competitive benefits package, including medical, dental, vision, life, and disability insurance, 401(k) plan, PTO time, paid holidays, and HSA plan is offered.
No Phone Calls, Please!
All applicants must be legally authorized to work in the United States at the time of hire. Twin Cities Pain Clinic does not provide employment visa sponsorship for this position.