Referral- Auth Eligibility Coordinator

Pinnacle Healthcare Consulting LLC

1d•Remote

About The Position

Under the direction of the Referral-Eligibility Manager and Senior Eligibility Coordinator, this position will obtain patients' Eligibility, Referrals, and Authorizations, ensuring they are updated and correct. The role involves utilizing billing software reports to gather patient information and updating all demographic and insurance verification information into the practice management system to facilitate prompt insurance billing and collections.

Requirements

Six months to one-year related experience and/or training; or equivalent combination of education and experience.
Ability to identify and resolve problems in a timely manner.
Ability to gather and analyze information skillfully.
Ability to develop alternative solutions.
Ability to work well in group problem solving situations.
Ability to use reason even when dealing with emotional topics.
Ability to manage difficult or emotional customer situations.
Ability to respond promptly to customer needs.
Ability to solicit customer feedback to improve service.
Ability to respond to requests for service and assistance.
Ability to meet commitments.
Ability to speak clearly and persuasively in positive or negative situations.
Ability to listen and get clarification.
Ability to respond well to questions.
Ability to demonstrate group presentation skills.
Ability to participate in meetings.
Ability to balance team and individual responsibilities.
Ability to exhibit objectivity and openness to others' views.
Ability to give and welcome feedback.
Ability to contribute to building a positive team spirit.
Ability to put the success of the team above own interests.
Ability to build morale and group commitments to goals and objectives.
Ability to support everyone's efforts to succeed.
Ability to recognize accomplishments of other team members.
Ability to develop strategies to achieve organizational goals.
Ability to understand organization's strengths & weaknesses.
Ability to analyze market and competition.
Ability to identify external threats and opportunities.
Ability to adapt strategy to changing conditions.
Ability to adapt to changes in the work environment.
Ability to manage competing demands.
Ability to change approach or method to best fit the situation.
Ability to deal with frequent change, delays, or unexpected events.
Ability to be consistently at work and on time.
Ability to ensure work responsibilities are covered when absent.
Ability to arrive at meetings and appointments on time.
Ability to follow instructions, respond to management direction.
Ability to take responsibility for own actions.
Ability to keep commitments.
Ability to commit to long hours of work when necessary to reach goals.
Ability to complete tasks on time or notify appropriate person with an alternate plan.
Ability to display willingness to make decisions.
Ability to exhibit sound and accurate judgment.
Ability to support and explain reasoning for decisions.
Ability to include appropriate people in decision-making process.
Ability to make timely decisions.
Ability to set and achieve challenging goals.
Ability to demonstrate persistence and overcome obstacles.
Ability to measure self against standard of excellence.
Ability to take calculated risks to accomplish goals.
Ability to prioritize and plan work activities.
Ability to use time efficiently.
Ability to plan for additional resources.
Ability to set goals and objectives.
Ability to organize or schedule other people and their tasks.
Ability to develop realistic action plans.

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.