Eligibility Coordinator

7 days ago

Fresno, California, United States Sante Health System, Inc Full time $50,000 - $80,000 per year

Sante Health System
is seeking to hire an
Eligibility Coordinator
to join our medical office team at
Central Valley Women's Health Associates (CVWHA)
in the
Fresno, CA
area. This position is responsible for communicating with Plans regarding eligibility verification and processing authorization requests along with communicating authorization approvals and denials to providers, schedulers, and billing office. This position also requires data entry of authorization requests.

Requirements

  • High school diploma/GED equivalent required.
  • Minimum one year work experience, preferably in a medical office setting.
  • Experience with medical terminology and various insurance products and requirements desirable.
  • Computer experience required.

Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small to approach to the work.

Essential Duties And Responsbilities

  • Review patient's medical history and insurance information.
  • Contact referring physicians for additional information as needed.
  • Verify eligibility and benefits for patients via internet portal or calling in to plan.
  • Communicate with plan on what needs authorization and then process authorization requests.
  • Enter new patient information and/or update patient information into system as needed.
  • Prepare reports as necessary.
  • Answer telephone and provide exceptional customer service and follow through.
  • Back-up front desk as needed.
  • Maintains patient confidentiality.
  • Attends required meetings and participates in committees as requested.

About Sante Health System
Sante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.

Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.

With over 30 years of service to the community, we deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of
talented, driven, dedicated, innovative, and service-driven professionals
. We provide
competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement
. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.

Apply now
to be our
Eligibility Coordinator

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