Insurance Eligibility Specialist

RadNet • UNAVAILABLE, OH

3d

About The Position

The Insurance Eligibility Specialist supports patient care by verifying insurance eligibility, gathering and maintaining accurate insurance information, and completing related documentation and data entry. The role uses telephone voice response systems and websites to obtain eligibility information, analyzes payer responses, and communicates results and alternative payment methods to patients. The specialist enters data into the RIS system, scans applicable paperwork into eRad RIS, and follows HIPAA, compliance, privacy, and confidentiality standards. The position also requires courteous, professional communication with patients, families, vendors, referring physicians, coworkers, and other team members, including providing accurate information to callers and escalating difficult situations to a manager or team leader when appropriate.

Requirements

• One of the following: a high school diploma or GED, at least 3 to 6 months of related experience and/or training, or an equivalent combination of education and experience.
• Excellent customer service and public relations skills.
• Strong written and verbal communication skills.
• Detail-oriented and organized, with clerical skills.
• Ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management.
• Excellent organizational skills, attention to detail, and ability to multitask.
• Ability to thrive in a fast-paced environment and prioritize work using a structured approach.
• Sound judgment and ability to remain professional in all situations.

Responsibilities

• Ensure accurate, timely, and thorough documentation and completion of required tasks according to established standards.
• Enter accurate and timely patient data into the RIS system.
• Use telephone voice response systems and website solutions to obtain patients’ insurance eligibility status.
• Work with patients to obtain complete and correct insurance information and discuss eligibility results and alternative payment methods.
• Analyze payer eligibility responses to identify information needed to complete verifications.
• Follow HIPAA, compliance, privacy, and confidentiality standards and maintain patient confidentiality.
• Demonstrate professionalism and courtesy to patients, families, guests, and team members.
• Communicate clearly and effectively with vendors, patients, referring physicians, coworkers, and other team members.
• Provide thorough and accurate information to callers.
• Maintain self-control when dealing with difficult patients or situations and involve a manager or team leader when necessary.
• Scan applicable paperwork into eRad RIS.
• Promote positive and supportive relationships with the referring community and fellow employees.
• Perform other duties as assigned.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Health Savings Accounts with employer funding.
• Wellness dollars.
• 401(k) employer match.
• Free services at any imaging center for the employee and immediate family.

What This Job Offers

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