Eligibility Specialist II
About The Position
AltaMed is dedicated to providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties, serving over 400,000 patients. The company fosters a diverse, respectful, and inclusive workplace, promoting equality through training, advancement opportunities, and support. The Eligibility Specialist II is responsible for managing patient encounters within the EPIC Practice Management System, which includes entering, reviewing, accepting, scrubbing, and correcting data. This role also involves handling patient demographics, insurance verification, and recertification, compiling patient encounter data, and communicating with patients via inbound and outbound calls. The specialist will also prepare communications, reports, and records for clinics 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 encounters in the EPIC Practice Management System
- Reviewing encounters in the EPIC Practice Management System
- Accepting encounters in the EPIC Practice Management System
- Scrubbing encounters in the EPIC Practice Management System
- Correcting encounters in the EPIC Practice Management System
- Entering patients’ demographics
- Performing insurance verification
- Performing recertification
- Compiling patient encounter data materials
- Making outbound calls to patients
- Assisting patients through inbound calls
- Preparing communication to clinics
- Preparing reports as needed
- Preparing 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
1-10 employees
