Insurance Eligibility Specialist

4 weeks ago


Lancaster, United States Skin And Cancer Institute Full time

Overview:
We are seeking an experienced Eligibility Specialist to join our team. As an Eligibility Specialist, you will play a crucial role in verifying insurance coverage and ensuring accurate eligibility determinations. This position requires strong knowledge of medical office procedures, coding, and insurance verification.

**Duties**:

- Verify insurance coverage and eligibility for patients
- Review and interpret medical records and documentation
- Ensure accurate coding of diagnoses and procedures using ICD-9 and ICD-10 codes
- Collaborate with medical office staff to gather necessary information for eligibility determination
- Maintain confidentiality and adhere to HIPAA regulations when handling patient information
- Communicate with insurance companies to resolve any discrepancies or issues with coverage
- Assist patients in understanding their insurance benefits and coverage limitations
- Update patient records with accurate insurance information
- Provide support to the billing department as needed

**Experience**:

- Minimum of 2 years of experience as an Eligibility Specialist or similar role in a medical office setting
- Strong knowledge of medical office procedures, including insurance verification and managed care processes
- Proficiency in using ICD-9 and ICD-10 codes for accurate coding purposes
- Familiarity with dental office procedures is a plus
- Excellent attention to detail and ability to maintain accuracy in a fast-paced environment
- Strong communication skills, both verbal and written, with the ability to effectively interact with patients, insurance companies, and medical staff

Note: All positions must be paid, including internship positions.

Pay: $18.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Weekly day range:

- Monday to Friday

Ability to Relocate:

- Lancaster, CA: Relocate before starting work (required)

Work Location: In person


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