Eligibility Specialist

Remote Jobs; Brasil; Teletrabalho; BRL 80.000 - 120.000; Tempo integral

Resumo da oferta

A leading healthcare services provider in Brazil is seeking a professional to handle insurance verifications and patient documentation. The ideal candidate will have 2-3 years of experience in a healthcare setting, particularly in roles involving insurance verification. This position offers a competitive benefits package including health and welfare benefits, and a monthly stipend. Join a dedicated team focused on exceptional patient care.

Serviços

Competitive health and welfare benefits package

401(k) plan with company match

24/7 Employee Assistance Program

Qualificações

• Minimum two to three years of experience in a healthcare environment, particularly in referral, front desk, or billing roles.
• Working knowledge of eligibility verification and prior authorizations.
• Knowledge of commercial plans, Medicare, Medicaid, and physical therapy benefits is a plus.

Responsabilidades

• Obtain benefit verification and necessary authorizations for all physical therapy services.
• Utilize online verification systems and communicate with insurance companies.
• Review insurance denials and rejections for resolution.

Conhecimentos

Insurance verification

Patient communication

Attention to detail

Formação académica

High school diploma/GED

Ferramentas

Centricity Practice Management

Centricity EMR

Descrição da oferta de emprego

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Competitive health and welfare benefits package
• Monthly stipend of $43 for ancillary benefits
• 401(k) plan with company match available after 6 months of service, including part-time employees
• Access to a 24/7 Employee Assistance Program for support
• Employee appreciation days and wellness events
• Opportunity to be part of a dedicated healthcare team focused on exceptional patient care

What to Expect (Job Responsibilities):

• Obtain benefit verification and necessary authorizations for all physical therapy services prior to patient arrival
• Utilize online verification systems and communicate with insurance companies to ensure accuracy of insurance eligibility
• Complete necessary patient paperwork and maintain proper appointment status settings for visits
• Verify patient demographic information and insurance eligibility, including coordination of benefits
• Review insurance denials and rejections to determine appropriate actions for resolution

What is Required (Qualifications):

• High school diploma/GED or equivalent working knowledge preferred
• Minimum two to three years of experience in a healthcare environment, particularly in referral, front desk, or billing roles with significant insurance verification experience
• Working knowledge of eligibility verification and prior authorizations from various payers
• Familiarity with government provisions and payers, as well as Coordination of Benefits
• Knowledge of commercial plans, Medicare, Medicaid, and physical therapy benefits is a plus

How to Stand Out (Preferred Qualifications):

• Experience with Centricity Practice Management and Centricity EMR
• Coding and billing knowledge/experience is advantageous

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.