Cardiology Insurance Eligibility Specialist

The Cardiovascular Care Group; Clifton (NJ); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Health Insurance

401k Contributions

Paid Time Off

Dental Plan

Vision Plan

HSA/FSA Benefits

Life Insurance

Employee Discounts

Job summary

The Cardiovascular Care Group in Clifton, New Jersey is seeking an Insurance Eligibility Specialist to join our team. This role verifies patient insurance coverage, benefits, referrals, and authorization requirements before services are rendered.

You will collaborate with patients, providers, and payers to minimize denials, educate patients on financial responsibility, and ensure a smooth patient experience within a fast-paced cardiovascular practice.

Qualifications

• Minimum 2 years in medical insurance verification or revenue cycle operations.
• Experience with physician practices or hospital settings preferred.
• Knowledge of Medicare, Medicaid, and commercial plans.
• Familiarity with EMR and practice management systems.

Responsibilities

• Verify patient insurance coverage, eligibility, and benefits for scheduled services.
• Obtain and document referrals and prior authorizations.
• Educate patients on financial responsibilities and costs.
• Collaborate with scheduling, billing, and clinical staff to prevent denials.
• Maintain HIPAA-compliant documentation.

Skills

Insurance verification

Payer requirements

Communication skills

Multitasking

Attention to detail

Customer service

Education

High School Diploma or GED

Associate degree in Healthcare Administration / related field

Tools

EMR systems

Practice management software

Job description

The Cardiovascular Care Group in Clifton, New Jersey is seeking an Insurance Eligibility Specialist to join our team. This role verifies patient insurance coverage, benefits, referrals, and authorization requirements before services are rendered.

You will collaborate with patients, providers, and payers to minimize denials, educate patients on financial responsibility, and ensure a smooth patient experience within a fast-paced cardiovascular practice.