Eligibility and Authorization Specialist

2 weeks ago

Peoria, United States Health Advocates Network Full time

Contract to Hire **Job # 24152 Eligibility and Authorization Specialist** **Acclivity Healthcare – Your personable, proven partner** Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent. **Compensation and Schedule for the Eligibility and Authorization Specialist** Eligibility and Authorization Specialist – Full-time, onsite, $19-$21 per hour, Monday – Friday, 8:00am to 5:00pm. Join a fast-growing company with great benefits **Required Qualifications of the Eligibility and Authorization Specialist** - 2+ years of recent medical insurance and/or insurance verification experience required - High school diploma or GED required - Must be able to pass a criminal background check and drug screen **Job Summary for the Eligibility and Authorization Specialist** Contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identify outstanding patient financial responsibility by creating financial estimates and notifying patients. Process the financial clearance of each patient and ensure successful payment of services rendered. **Responsibilities of the Eligibility and Authorization Specialist** - Complete effective and efficient verifications and authorizations of all patients’ benefits - Utilize electronic verification/eligibility technology - Contact insurance companies to verify and/or obtain patient eligibility and benefits - Verify existing patient insurance coverage and update the information in the practice management software system - Obtain all referrals and authorizations for procedures and services, as required - Act as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected - Address rejected claims related to patient eligibility, authorization, or demographics - Answer incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage - Ensure all patient questions are answered and issues are resolved timely by utilizing the appropriate resources - Develop and maintain effective relationships with the patients ensuring all patient demographic and insurance information is obtained and current - Maintain up-to-date knowledge of specific clinical services, registration, and pre-registration requirements for all departments - Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA - Proactively identify and lead department process improvement opportunities - Maintain patient and company confidentiality **About the Company** As one of the leading centers for the diagnosis and treatment of asthma, allergy, immunodeficiencies, and other respiratory issues, this company’s mission is to foster a comprehensive community dedicated to providing patients with solutions to help them breathe easier. Their specially selected staff of allergists, immunologists, nurses, and technicians have years of experience in the care of respiratory and allergic diseases. This organization is currently seeking a friendly and experienced Eligibility and Authorization Specialist to join their team Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

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