Eligibility Specialist II

AltaMed•Commerce, CA

4d•$25 - $29

About The Position

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Eligibility Specialist II is responsible for entering, reviewing, accepting, scrubbing, and correcting encounters in the EPIC Practice Management System. This position requires entering patients’ demographics, insurance verification, and recertification, and compiling patient encounter data materials. This position also includes making outbound calls to patients and assisting patients through inbound calls. Prepares communication to clinics, reports, and records as needed.

Requirements

High School diploma or equivalent required.
Minimum of two years’ experience required in a clerical environment.
Minimum of one year Customer Service experience required (preferably in a clinical environment).
Experience in validating eligibility with healthcare plans is required.

Responsibilities

entering, reviewing, accepting, scrubbing, and correcting encounters in the EPIC Practice Management System
entering patients’ demographics, insurance verification, and recertification
compiling patient encounter data materials
making outbound calls to patients and assisting patients through inbound calls
preparing communication to clinics, reports, and records as needed