Insurance Eligibility Specialist

6 days ago


Pasadena, California, United States Alura Workforce Solutions Full time
Job Summary

We are seeking a dedicated Insurance Verification Specialist to join our team at Alura Workforce Solutions. This role involves electronic and telephonic verification of patients' insurance benefits and eligibility.

Key Responsibilities
  • Obtain and verify insurance benefits online and via phone, ensuring accurate and up-to-date information.
  • Accurately input insurance information and coverage details into patient accounts, maintaining data integrity and security.
  • Deliver exceptional customer service to patients and colleagues, responding to inquiries and resolving issues in a timely and professional manner.
  • Proactively address potential issues to prevent crisis situations, identifying and mitigating risks to ensure smooth operations.
  • Assist with daily telephone inquiries from patients regarding billing issues, directing them to the appropriate team member and providing support as needed.
  • Discuss any concerns or problems related to daily service slips and charges with the manager on a regular basis, ensuring transparency and accountability.
  • Provide support to the Accounts Receivable department as needed, contributing to the overall success of the team.
Qualifications
  • High school diploma or equivalent required.
  • Experience verifying patient insurance eligibility and benefits via insurance portals is essential.
  • Knowledge of EOB, ICD-9, CPT codes, and accounts receivable processes is preferred.
  • Experience in billing for OB/GYN and infertility is preferred.
  • Proficiency in Microsoft Word and Excel is preferred, along with data entry skills and a typing speed of 40 words per minute.


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