Referral- Auth Eligibility Coordinator

Pinnacle Healthcare Consulting LLC

18h•Remote

About The Position

Under the direction of the Referral-Eligibility Manager and Senior Eligibility Coordinator will obtain patients Eligibility, Referrals, Authorization updated and correct patient information. This position will utilize the billing software reports to obtain patient information. The position requires updating all demographic and insurance verification information into the practice management system to allow for prompt insurance billing and collections.

Requirements

Six months to one-year related experience and/or training; or equivalent combination of education and experience.

Responsibilities

Obtain accurate demographic and insurance information, referrals, auth’s as required.
Utilizes insurance websites, and phone calls daily.
Verify demographic and insurance information and update accordingly.
Generates billing software reports daily.
Reviews and updates patients’ files
Identifies and resolves problems in a timely manner
Gathers and analyzes information skillfully
Develops alternative solutions
Works well in group problem solving situations
Uses reason even when dealing with emotional topics.
Manages difficult or emotional customer situations
Responds promptly to customer needs
Solicits customer feedback to improve service
Responds to requests for service and assistance
Meets commitments.
Speaks clearly and persuasively in positive or negative situations
listens and gets clarification
Responds well to questions
Demonstrates group presentation skills
Participates in meetings.
Balances team and individual responsibilities
Exhibits objectivity and openness to others' views
Gives and welcomes feedback
Contributes to building a positive team spirit
Puts success of team above own interests
Able to build morale and group commitments to goals and objectives
Supports everyone's efforts to succeed
Recognizes accomplishments of other team members.
Develops strategies to achieve organizational goals
Understands organization's strengths & weaknesses
Analyzes market and competition
Identifies external threats and opportunities
Adapts strategy to changing conditions.
Adapts to changes in the work environment
Manages competing demands
Changes approach or method to best fit the situation
Able to deal with frequent change, delays, or unexpected events.
Is consistently at work and on time
Ensures work responsibilities are covered when absent
Arrives at meetings and appointments on time.
Follows instructions, responds to management direction
Takes responsibility for own actions
Keeps commitments
Commits to long hours of work when necessary to reach goals
Completes tasks on time or notifies appropriate person with an alternate plan.
Displays willingness to make decisions
Exhibits sound and accurate judgment
Supports and explains reasoning for decisions
Includes appropriate people in decision-making process
Makes timely decisions.
Sets and achieves challenging goals
Demonstrates persistence and overcomes obstacles
Measures self against standard of excellence
Takes calculated risks to accomplish goals.
Prioritizes and plans work activities
Uses time efficiently
Plans for additional resources
Sets goals and objectives
Organizes or schedules other people and their tasks
Develops realistic action plans.