Billing and Eligibility Specialist

3 days ago


Appleton, Wisconsin, United States Lucent Health Solutions LLC Full time
Job Summary

Lucent Health Solutions LLC is seeking a skilled Billing and Eligibility Specialist to join our team. As a key member of our department, you will be responsible for ensuring the smooth operation of our claims and eligibility processes.

Key Responsibilities
  • Process incoming eligibility/change/termination notices within 48 hours of receipt, in accordance with client Plan Documents and company procedures.
  • Inform supervisors of any delays or issues with turnaround times.
  • Notify clients of missing data and ensure accurate billing.
  • Work closely with Group set up and Account Management to ensure accurate billing.
  • Review and evaluate client bills for accuracy.
  • Communicate with clients and internal teams to resolve disputes and issues.
  • Assist with special projects and training as needed.
Requirements
  • Bachelor's degree or equivalent experience in a related field.
  • Minimum of two years of experience in claims and eligibility processing.
  • Excellent communication and problem-solving skills.
  • Ability to work in a fast-paced environment and meet deadlines.
  • Detail-oriented and organized with a strong attention to accuracy.
Company Culture

Lucent Health Solutions LLC values honesty, ethics, and hard work. We believe in transparent communication, integrity, and trustworthiness. Our team is dedicated to providing exceptional service to our clients and ensuring the success of our company.



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