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Insurance Eligibility Coordinator

1 month ago

Las Vegas, Nevada, United States LA BUSINESS MANAGEMENT SERVICES, LLC Full time
Job Summary

We are seeking a highly skilled Eligibility Specialist to join our team at LA Business Management Services, LLC. As an Eligibility Specialist, you will play a critical role in verifying insurance coverage and ensuring accurate eligibility determinations.

Key Responsibilities
  • 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
Requirements
  • 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 office procedures
  • 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

If you are a detail-oriented individual with experience in insurance verification and eligibility determination, we encourage you to apply for this position. We offer competitive compensation and benefits packages.