Medical Eligibility Specialist
4 weeks ago
Responsible to provide excellent customer service to all members of the Center. Ensures patient accounts are managed and assists patients with account summarization. Facilitates client qualification for and enrollment in a Qualified Health Plan (QHP) through the Federal Marketplace, Medicaid/CHIP and/or other health programs/grants. Assists qualified individuals in making informed decisions on the selection of a health plan if available. Maintains confidentiality of all patient information. DUTIES AND RESPONSIBILITIES:1. Performs new patient registration, updates patient information, data entry of demographics, and any other required information. Verifies third party benefit coverage to include co-pays, deductibles and co-insurance. Ensures accurate activations of plans and programs and records special notations in patient account software; assists patient with registration. 2. Conducts eligibility screening on patients for various programs available through the Center; including predetermination and assistance with application completion for special funded programs; accurately places clients on appropriate programs based on funding source requirements; refers potential eligible Medicaid patients to the State Medicaid worker and/or facilitates the enrollment of Medicaid. Performs follow-up eligibility process to include contacting patient for additional information and contacting the funding source for eligibility status. 3. Prepares for next day clinic session to include reviewing and confirming appointments, noting alerts for payments and balances, obtaining current insurance information, updating proof of income, pre-registering patients, and screening patients for program eligibility.4. Maintains knowledge and expertise in eligibility, enrollment, and program specifications of the Federal Marketplace and other health coverage programs such as Medicaid and CHIP. Complies with departmental policies and funding source requirements; maintains current level knowledge of updates in funding source regulations.5. Ensures the protection and security of a consumer's personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA). 6. Processes credit card payments, ensures payments are applied correctly in patient accounts. Completes end-of-day reconciliation report; ensures that credit card payments reconcile with practice management report.7. Assists with training support staff on insurance verification, entering demographics, program eligibility requirements, payment processing, and other related duties.8. Provides exceptional internal and external customer service. Communicates with clients, support staff and third party payors to address billing questions and concerns regarding charges payments, adjustments, benefits and possible refunds. Makes payment plan arrangements with patients when appropriate.9. Performs other related duties as assigned. JOB QUALIFICATIONS:High School graduate or equivalent requiredMinimum one year experience in front office duties, including insurance verification and referralsMust complete a minimum of 30 hours of training to obtain Consumer Assistance Certification within six (6) months of employment; and recertify annually.Proficiency in Word, Excel, Internet/Intranet and EHR (Electronic Health Record) data entry skillsHas knowledge in healthcare billing, to include Medicaid, Medicare, and Private InsuranceDemonstrates good verbal and written communication, with interpersonal and organizational skillsAbility to handle multiple tasks ensuring completion with minimal supervision and attention to detail Bilingual (English/Spanish) preferredScheduled hours and/or work locations are subject to changePHYSICAL ACTIVITIES AND REQUIREMENTS:Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly.Hearing: Able to hear average or normal conversations and receive ordinary information.Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.Visual:Average, ordinary, visual acuity necessary to prepare or inspect documents or other materials.Physical: Sedentary work; sitting most of the time.May have to lift folders, files, papers, audio/video equipment, and other such items weighing up to approximately 25 lbs.
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Medical Eligibility Coordinator
2 weeks ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryCommuniCare Health Center is seeking a highly skilled Medical Eligibility Specialist to join our team. As a Medical Eligibility Specialist, you will play a critical role in ensuring that patients receive the healthcare services they need by verifying their eligibility for various programs and services.Key ResponsibilitiesEligibility Verification:...
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Medical Eligibility Coordinator
1 week ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryCommuniCare Health Center is seeking a highly skilled Medical Eligibility Specialist to join our team. As a Medical Eligibility Specialist, you will play a critical role in ensuring that patients receive the healthcare services they need by verifying their eligibility for various programs and services.Key ResponsibilitiesEligibility Verification:...
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Medical Eligibility Coordinator
15 hours ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Medical Eligibility Specialist to join our team at CommuniCare Health Center. As a Medical Eligibility Specialist, you will play a critical role in ensuring that our patients receive the best possible care by facilitating their access to health insurance programs and services.Key...
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Medical Eligibility Coordinator
7 days ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryWe are seeking a highly skilled Medical Eligibility Specialist to join our team at CommuniCare Health Center. As a Medical Eligibility Specialist, you will play a critical role in ensuring that our patients receive the best possible care by facilitating their enrollment in various health programs and plans.Key ResponsibilitiesPerform new patient...
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Medical Eligibility Coordinator
4 days ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryWe are seeking a highly skilled Medical Eligibility Specialist to join our team at CommuniCare Health Center. As a key member of our staff, you will play a critical role in ensuring that our patients receive the best possible care and support.Key ResponsibilitiesProvide exceptional customer service to patients, families, and healthcare...
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Medical Eligibility Coordinator
6 days ago
San Antonio, Texas, United States CommuniCare Health Center Full timeJob SummaryWe are seeking a highly skilled Medical Eligibility Specialist to join our team at CommuniCare Health Center. As a key member of our staff, you will be responsible for providing exceptional customer service to our patients, ensuring accurate account management, and facilitating enrollment in various health programs.Key ResponsibilitiesPerform new...
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Patient Eligibility Specialist
3 weeks ago
San Antonio, Texas, United States Conifer Health Solutions Full timeJob Title: Patient Eligibility Specialist**Conifer Health Solutions** is seeking a skilled Patient Eligibility Specialist to play a critical role in ensuring patients receive the care they need while navigating complex healthcare systems.Key ResponsibilitiesConduct thorough interviews with patients and/or family members to gather information and assess...
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Child Protective Services Eligibility Specialist
2 weeks ago
San Antonio, Texas, United States Texas Department of Aging & Disability Services Full timeJob Summary: We are seeking a highly skilled Foster Care Eligibility Specialist II to join our team at the Texas Department of Aging & Disability Services. As a Foster Care Eligibility Specialist II, you will play a critical role in determining and certifying eligibility for foster care, Medical Assistance Only, and Adoption Assistance in the Child...
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Medical Support Specialist
1 week ago
San Antonio, Texas, United States Sterling Medical Corporation Full time**Job Opportunity for Medical Support Specialist****About the Role**Sterling Medical Corporation is seeking a highly skilled Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a vital role in supporting the healthcare team and providing exceptional patient care.**Key Responsibilities**Assist healthcare professionals...
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Associate Eligibility Specialist
16 hours ago
San Francisco, California, United States Jefferson County, Colorado Full timeJob Opportunity:We are seeking a highly skilled Eligibility Specialist to join our team at Jefferson County, Colorado. As an Eligibility Specialist, you will play a critical role in evaluating applications and determining eligibility for various government benefits.Recruitment Process:Our Talent Acquisition Team carefully reviews all applications to ensure...
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CPS FC Elig Spec II
1 month ago
San Antonio, United States Texas Department of Aging & Disability Services Full timeJob Description: CPS FC Elig Spec II CPS FC Elig Spec II - The Foster Care/Adoption Assistance Eligibility Specialist position is responsible for determining and certifying eligibility for foster care, Medical Assistance Only and Adoption Assistance in the Child Protective Services program. The position uses application forms and interprets policy to...
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Dermatology Physician
2 weeks ago
San Antonio, Texas, United States Enterprise Medical Recruiting Full timeWe are currently seeking a highly skilled and experienced Medical Dermatology Specialist to join our esteemed client's team in San Antonio, Texas. Our client is a well-established and respected Dermatology practice, renowned for its exceptional patient care and commitment to excellence.Practice Details:Seeking a Medical Dermatology Specialist to join a...
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Patient Eligibility Specialist
3 weeks ago
San Francisco, California, United States Health Advocates Full timeHealth Advocates is in search of a Patient Eligibility Specialist to support our client hospital operations.WE PROVIDE PAID TRAININGPosition OverviewThe role of the Eligibility Specialist involves assisting patients and claimants in determining their eligibility for various governmental assistance programs such as Medi-Cal, VOC, SSI/SSDI, and TPL, following...
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Plasma Center Medical Support Specialist
5 days ago
San Antonio, Texas, United States Biolife Plasma Services Full timeAbout BioLife Plasma ServicesWe are a leading provider of plasma-based therapies, and we are seeking a highly skilled Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors and employees.Job SummaryThe Medical Support Specialist will be responsible for...
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Medical Support Specialist
3 weeks ago
San Antonio, Texas, United States Aledade Full timeJob Summary:We are seeking a highly skilled Medical Support Specialist to join our team at Leon Springs Family Practice PA. As a Medical Support Specialist, you will play a vital role in ensuring the smooth operation of our medical facility.Key Responsibilities:Administrative Tasks: You will be responsible for collecting and recording patient vitals in a...
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Program Eligibility Specialist
6 days ago
San Luis Obispo, California, United States Community Action Partnership of San Luis Obispo Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Program Eligibility Specialist to join our team at Community Action Partnership of San Luis Obispo. As a key member of our staff, you will be responsible for determining initial and continued eligibility for state and federally funded programs, establishing and maintaining trusting relationships...
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Associate Eligibility Specialist
1 week ago
San Francisco, California, United States Jefferson County, Colorado Full timeJob SummaryWe are seeking a highly organized and detail-oriented individual to join our team as an Associate Eligibility Specialist. In this role, you will be responsible for evaluating and processing applications for various programs and services offered by Jefferson County, Colorado.Key ResponsibilitiesEvaluate and process applications for eligibility for...
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Bilingual Medical Support Specialist LPN
5 days ago
San Antonio, Texas, United States Takeda Full timeAbout the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist LPN to join our team at BioLife Plasma Services. As a Medical Support Specialist LPN, you will play a critical role in ensuring the safety and well-being of our donors, while also contributing to the collection of high-quality plasma that will become life-changing...
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Plasma Center Medical Support Specialist
6 days ago
San Antonio, Texas, United States Biolife Plasma Services Full timeAbout the RoleWe are seeking a highly skilled Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors and employees.Key ResponsibilitiesDetermine donor eligibility accurately and in a timely manner, including proper management of...
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Assembler I
1 week ago
San Antonio, Texas, United States Viant Medical Full timeJob SummaryWe are seeking a skilled Assembler I - Medical Device Specialist to join our team at Viant Medical. As a key member of our production team, you will be responsible for assembling and customizing medical equipment under close supervision.Key ResponsibilitiesAssemble medical devices according to approved documentation and trainingPerform equipment...
