Clinical Eligibility Coordinator

3 weeks ago


Henderson, Nevada, United States Behavioral Health Solutions Full time
Job Overview: We are seeking an experienced Clinical Eligibility Coordinator to support our Washington markets. As a key member of the Behavioral Health Solutions team, you will be responsible for overseeing the eligibility process for new patients referred for treatment with BHS.

Key Responsibilities:
  • Validate and enter patient information and insurance coverage into our computer system.
  • Verify insurance eligibility for services provided and document complete information in the system.
  • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies.
  • Contact all insurance carriers per patient to ensure proper coordination and reimbursement of benefits.

Requirements:
  • Experience in healthcare/medical settings.
  • Experience with billing preferred.
  • Highly organized and attentive to detail.
  • Experience with eligibility verification (Medicaid/Medicare and other insurance portals).
  • Excellent oral, written, and listening communication skills.
  • Proficient in MS-Excel.
  • Ability to work independently.

Benefits:
  • Competitive salary range $17-$18.


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