Eligibility Specialist - Searcy

Unified Health Services LLC • Searcy, AR

1d

About The Position

At UHS, Eligibility Specialists are responsible for communicating with insurers, employers and/or patients in order to ensure the accuracy of all claim data in an efficient manner that results an expeditious flow of work throughout the Patient Access area.
Determine eligibility, maintain and complete data requirements for all claim records, demonstrating efficiency and the desire to produce results.
Documentation of claim information through the use of multiple systems and online resources with a high level of accuracy.
Troubleshoot and resolve claim records with missing or inadequate information by using analytical thinking skills.
Establishes rapport and credibility with contacts by providing excellent customer service in a professional and respectful manner.
Promptly handles escalated claims to ensure short turn-around times in other departments by understanding the “bigger picture” and valuing teamwork.
Adheres to all HIPAA/state/federal guidelines for communication regarding patient health information (PHI).

Requirements

• High school diploma. College degree is not required, but some college preferred.
• Knowledge of Windows, Power Point, Word and Excel or similar programs required.
• Strong keyboarding skills – fast and accurate 50 WPM with a 97% accuracy
• Investigative, curious and problem-solving mindset with the ability to multi-task
• Mature, patient, and able to appropriately handle difficult situations
• Able to handle high workload volume timely and accurately
• Must have a cheerful, pleasant disposition and enthusiasm for the position
• Excellent data entry skills and an above average attention to detail
• Able to work independently. Must be reliable and a self-starter.

Nice To Haves

• Some college preferred

Responsibilities

• Communicating with insurers, employers and/or patients to ensure claim data accuracy.
• Determining eligibility and maintaining claim records.
• Documenting claim information using multiple systems.
• Troubleshooting and resolving claim records with missing information.
• Providing excellent customer service.
• Handling escalated claims promptly.
• Adhering to HIPAA/state/federal guidelines for patient health information.

What This Job Offers

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