Eligibility Specialist Jobs

About The Position

Requirements

• Bilingual required
• Ability to understand and practice bookkeeping and accounting terminology required
• Ability to operate computers and other office machines required
• Must be able to take responsibility and work under pressure
• High School Diploma or GED
• some medical knowledge

Nice To Haves

• A minimum of 3-5 years of medical billing experience preferred.
• Some training or background in ICD-A / CPT codes preferred.
• Knowledge of medical terminology and billing practices preferred.

Responsibilities

• Conduct eligibility for clients following procedures and guidelines specific to each program.
• Ensure that clients do not have another payer source such as Medicaid, Medicare, ADAP, and any other third party insurance.
• Register clients into the CPCDMS.
• Complete all necessary paperwork.
• Perform data entry of eligible clients into electronic system.
• Maintain up-to-date and orderly eligibility files.
• Conduct renewal eligibility as required by each program.
• Confirm eligibility appointments with clients.
• Set initial service appointments once eligibility has been determined.
• Provide clients with a list of required eligibility documentation.
• Participate in the Performance Improvement Program.
• Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives.
• Attend all required safety training programs and describe responsibilities related to general safety, department/service safety, and specific job-related hazards.
• Attend all required safety education programs.
• Operate assigned equipment and perform all procedures in a safe manner as instructed.
• Maintain the work area and equipment in the condition required by Legacy standards.
• Demonstrate proper body mechanics in all functions.
• Check the patient’s environment and equipment to ensure safety.
• Report safety concerns promptly to appropriate personnel.
• Follow Legacy’s exposure control plans and bloodborne and airborne pathogen precautions.
• Demonstrate knowledge of techniques, procedures, and correct use of protective barrier equipment (Universal Precautions).
• Assure a safe environment by instituting appropriate control measures.
• Attend annual education programs.
• Travel to other sites for training and/or coverage as needed.
• Perform other duties as assigned.

Benefits

• Paid Time Off & Paid Company Holidays
• Medical, Dental, Vision & Life Insurance
• Flexible Spending Account (FSA)
• 403(b) Retirement Plan with Company Match
• Short-Term & Long-Term Disability
• $0 Copay for Legacy Provider visits
• $0 Copay for prescriptions filled at Legacy Pharmacies
• Travel Insurance & Pet Insurance
• Subsidized Gym Membership