Eligibility Specialist

Overview Eligibility and Benefit Specialist is responsible for the timely verification of medical insurance benefits. Verifies insurance information in file is active and correct prior to patient appointments. Responsibilities Uses online tools or calls private insurance companies, Medicare, and Medicaid to obtain benefit information. Determines insurance compatibility with health‑care provider. If provider is out of network, notifies ordering physician and patient. Determines the estimate of patient financial responsibility according to deductibles, out of pocket, co‑pay, and contracted fee schedules. Coordinates with patients regarding their insurance benefits. Makes courtesy call to patients prior to appointment to make patient aware of any deductible, out of pocket, or co‑pay financial responsibility. Documents patient contact in eCW system. Qualifications Equivalent to four years high school or GED, with particular emphasis during high school in office skills, shop skills, or others, plus 12 to 18 months eligibility experience and/or training, or equivalent combination of education and experience. What We Offer Comprehensive Benefits Medical & dental 401(K) match and profit sharing Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays during your first year of employment Employer paid life, long‑term & short‑term disability benefits Corporate Discounts MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, AT&T, Verizon, and many more! One‑On‑One Training and Development At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr