Eligibility Specialist II
About The Position
AltaMed is a healthcare organization passionate about helping those in need and fostering career growth. They are an integral part of the communities they serve, committed to providing quality care for everyone. The Eligibility Specialist II is responsible for managing patient encounters within the EPIC Practice Management System. This includes entering, reviewing, accepting, scrubbing, and correcting encounter data. The role also involves entering patient demographics, performing insurance verification and recertification, and compiling patient encounter data materials. Additionally, the specialist will handle both inbound and outbound calls to assist patients and prepare communications, reports, and records for clinics as needed.
Requirements
- High School diploma or equivalent required
- Minimum of two years’ experience in a clerical environment
- Minimum of one year Customer Service experience (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
- Performing insurance verification and recertification
- Compiling patient encounter data materials
- Making outbound calls to patients
- Assisting patients through inbound calls
- Preparing communication to clinics, reports, and records as needed
Benefits
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
1-10 employees
