Eligibility Specialist

Medical Associates of NWA • Fayetteville, AR

6d

About The Position

Eligibility and Benefit Specialist is responsible for the timely verification of medical insurance benefits. Verifies insurance information in file is active and correct prior to patient appointments.

Requirements

• Equivalent to four years high school or GED, with particular emphasis during high school in office skills, shop skills, or others, plus 12 to 18 months of eligibility experience and/or training, or equivalent combination of education and experience.

Responsibilities

• Uses online tools or calls private insurance companies, Medicare, and Medicaid to obtain benefit information.
• Determines insurance compatibility with health-care provider. If provider is out of network, notifies ordering physician and patient.
• Determines the estimate of patient financial responsibility according to deductibles, out of pocket, co-pay, and contracted fee schedules.
• Coordinates with patients regarding their insurance benefits. Makes courtesy call to patients priorto appointment to make patient aware of any deductible, out of pocket, or co-pay financial responsibility. Documents patient contact in eCW system.

Benefits

• Medical & dental
• 401(K) match and profit sharing
• Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
• Employer paid life, long-term & short-term disability benefits
• Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, and many more!
• One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED