Insurance Eligibility Specialist

Job Description

Job Description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as an Insurance Eligibility Specialist, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

 

You Will:

• Ensures accurate, timely, and thorough documentation and completion of all necessary tasks according to established standards.
• Ensures accurate and timely data entry into the RIS system for each patient, according to established standards.
• Utilizes telephone voice response systems and website solutions to obtain information on patients’ eligibility status with insurance companies.
• Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods.
• Properly analyzes various payer eligibility responses to find the information needed to complete verifications.
• Follows all HIPAA, compliance, privacy and confidentiality standards.
• Maintains patient confidentiality at all times.
• Demonstrates professionalism and courtesy to patients, families/guests and other team members.
• Communicates clearly and effectively.
• Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner.
• Provides thorough and accurate information to all callers.
• Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary.
• Scans all applicable paperwork into eRad RIS.
• Promotes a positive and supportive relationship with referring community and fellow employees.
• Performs other duties as assigned.

You Are:

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
• Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

To Ensure Success In This Role, You Must Have:

• Must have one of the following: a high school diploma or general education degree (GED), at least 3 to 6 months of related experience and/or training, or an equivalent combination of education and experience.
• Possess and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
• Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management.

We Offer:

• Comprehensive Medical, Dental and Vision coverages.
• Health Savings Accounts with employer funding.
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family.