Patient Access Representative/Eligibility Specialist

Cardiology Consultants of Philadelphia•Lower Providence Township, PA

9d•Onsite

About The Position

Cardiology Consultants of Philadelphia (CCP) is a professional medical organization committed to the healing mission of Medicine and is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health. CCP specializes in providing comprehensive cardiology care and currently has over 30 locations throughout the Philadelphia region. We are currently hiring for a full-time Patient Access Representative/Eligibility Specialist at our East Norriton, PA location.

Requirements

Must have experience in a medical office setting
Must have knowledge of medical insurance plans
Must have the ability to multitask
Computer knowledge is a must
Must be well-spoken, friendly, and outgoing

Nice To Haves

Experience with an EMR system is a plus

Responsibilities

Verify patient insurance coverage and benefits prior to appointments, procedures, and treatments.
Review and update patient demographic and insurance information in electronic medical records (EMR) systems.
Determine patient eligibility for healthcare services based on insurance plan requirements.
Obtain and document referrals, prior authorizations, and pre-certifications as needed.
Contact insurance companies to verify coverage, benefits, deductibles, co-pays, and out-of-pocket responsibilities.
Communicate eligibility and authorization information to patients and clinical staff.
Resolve insurance discrepancies, denials, and coverage issues in a timely manner.
Maintain accurate records of all eligibility verification activities.
Ensure compliance with HIPAA and other applicable healthcare regulations.
Collaborate with billing, scheduling, and clinical teams to support efficient patient care and revenue cycle operations.
Assist patients with understanding insurance benefits and financial responsibilities.