Eligibility and Benefits Specialist

OrthoArizona; Chandler (AZ); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Basic Life Insurance

Employee Assistance Program

Voluntary Short- & Long-Term Disable

401(k) Plan

Paid Time Off

Job summary

OrthoArizona in Chandler, AZ is seeking an Eligibility and Benefits Specialist to verify insurance coverage, obtain referrals and authorizations, and act as liaison between patients, providers, and carriers.

The role emphasizes accurate EMR documentation, understanding insurance plans, and promoting a positive facility image while working with a collaborative team.

Qualifications

• Must be able to drive to location for in-person training period for first 90 days and as needed after.
• Knowledge of medical terminology.
• Working knowledge of computer programs.
• Excellent written and verbal communication skills.
• Understand/Perform training on practice management software.
• Ability to promote favorable facility image with physicians, patients, insurance companies, and general public.
• Ability to communicate effectively on the telephone.
• Ability to make decisions and solve problems.
• Working knowledge of health insurance plans including reading plan requirements.
• Follow all Standard Operating Procedures.
• High School diploma or GED.
• Minimum of 2 years of experience in healthcare administration or related field.
• Strong organizational and communication skills.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance authorization processes.

Responsibilities

• Verify insurance coverage for potential new patients and re-verify coverage for existing patients.
• Navigates through multiple insurance portals or by phone to obtain necessary insurance benefits.
• Reconciles obtained information within EMR to ensure successful claim processing.
• Responsible for obtaining all referrals and authorizations for office visits, as required.
• Liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Enters any authorization numbers and expiration dates into the EMR for proper claim processing.
• Update pertinent insurance notes in multiple EMR systems for corresponding departments to access.
• Maintain medical records in accordance with practice policies and procedures.
• Using state or federally regulated websites may require personal login credentials.

Skills

Medical terminology

Communication skills

Computer skills

Practice management software

Telephone skills

Problem solving

Health insurance

SOP compliance

Teamwork

Independent work

Insurance authorization

Education

High School diploma or GED

2+ years healthcare admin experience

Tools

None

Job description

Anticipate patient needs, exceed expectations, and create lifelong memories.

An orthopedic practice that is made up of over 70 premier specialists, specializing in sports medicine, joint replacement, arthroscopy, fractures, arthritis, and general orthopedic conditions in adult and pediatric patients. OrthoArizona offers a wide variety of services that include advanced imaging, physical therapy, diagnostic testing, casting, durable medical equipment, and workers’ compensation.

We are looking for employees who want to work for a fast-growing organization with a strong reputation for providing comprehensive, high-quality musculoskeletal care. We need professionals who share our vision and the commitment to see it through.

General Employee Benefits

We are committed to providing the best benefits options to our employees so we can support their health, wellness, and happiness.

Basic Life Insurance

Employee Assistance Program

Voluntary Short- & Long-Term Disability

401(k) Plan

Paid Time Off

Position:Eligibility and Benefits Specialist

Location: Chandler (Southeast Hub), AZ

Job Id:4181

# of Openings:1

Eligibility & Benefits Specialist

About OrthoArizona:

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.

Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.

As an Eligibility & Benefits Specialist with OrthoArizona, you will get to:

• Verify insurance coverage for potential new patients and re-verify insurance coverage for existing patients.


• Navigates through multiple insurance portals or by phone to obtain necessary insurance benefits.


• Reconciles obtained information within EMR to ensure successful claim processing.


• Responsible for obtaining all referrals and authorizations for office visits, as required.


• Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.


• Enters any authorization numbers and expiration dates into the EMR for proper claim processing.


• Update pertinent insurance notes in multiple EMR systems for corresponding departments to access.


• Maintain medical records in accordance with practice policies and procedures.


• *Using state or federally regulated websites may require personal login credentials.

Qualifications:

• Must be able to drive to location for in-person training period for first 90 days and as needed after.


• Knowledge of medical terminology.


• Working knowledge of computer programs.


• Excellent written and verbal communication skills.


• Understand/Perform training on practice management software.


• Ability to promote favorable facility image with physicians, patients, insurance companies, and general public.


• Ability to communicate effectively on the telephone.


• Ability to make decisions and solve problems.


• Working knowledge of health insurance plans including reading plan requirements.


• Follow all Standard Operating Procedures.


• High School diploma or GED.


• Minimum of 2 years of experience in healthcare administration or related field.


• Strong organizational and communication skills.


• Ability to work independently and as part of a team.


• Knowledge of medical terminology and insurance authorization processes.

Full Time Benefits:

• Robust paid time off package including, sick time, holidays, & paid time off!


• Medical with multiple different plan options.


• Health Savings account + company contributions.