Medical Eligibility Specialist
2 weeks ago
Job Summary
At People First Consultants, we are seeking a skilled Medical Eligibility Specialist to join our team. As a Medical Eligibility Specialist, you will be responsible for initiating calls to insurance companies to verify patient eligibility and benefits for medical services.
Key Responsibilities
- Collect and document all necessary patient information to ensure accurate eligibility verification.
- Communicate effectively with healthcare providers and patients regarding eligibility status and any required documentation.
- Maintain accurate and organized records of all verification requests and outcomes in the electronic health record (EHR) system.
- Address and resolve issues related to eligibility discrepancies or denied claims in a timely manner.
- Collaborate with medical and administrative staff to ensure seamless patient care and service.
- Stay updated on changes in insurance policies and eligibility requirements.
- Strong knowledge of medical terminology and insurance processes.
- Excellent verbal and written communication skills.
- Proficiency with EHR systems web portals and Microsoft Office Suite.
Requirements
- Strong knowledge of medical terminology and insurance processes.
- Excellent verbal and written communication skills.
- Proficiency with EHR systems web portals and Microsoft Office Suite.
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