Eligibility & Data Control Specialist

Universal Health Services; Riverside (CA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Challenging work

Growth opportunities

Competitive pay

Job summary

Universal Health Services in Riverside, CA is seeking a detail-oriented Benefits Verification Specialist to verify patient benefits, enter data, and process referrals.

Responsibilities include reviewing authorization requests, answering referral inquiries by phone, updating insurance records, and ensuring timely completion in line with health plan requirements. Applicants should have a High school diploma or GED and some related experience.

Qualifications

• High school diploma or GED required.
• One to three months related experience and/or training; or an equivalent combination of education and experience preferred.
• Strong data entry and phone communication skills are essential.

Responsibilities

• Review and submit authorization requests to health plan portals.
• Answer calls regarding referral inquiries.
• Monitor messages for provider offices and respond promptly.
• Verify patient benefits and eligibility before authorizing services or supplies.
• Update insurance records as needed.
• Communicate system issues and required benefit file updates.
• Update authorizations in the system to ensure timely turnaround.

Skills

Phone skills

Data entry

Benefits verification

Education

High school diploma or GED

Job description

Universal Health Services in Riverside, CA is seeking a detail-oriented Benefits Verification Specialist to verify patient benefits, enter data, and process referrals.

Responsibilities include reviewing authorization requests, answering referral inquiries by phone, updating insurance records, and ensuring timely completion in line with health plan requirements. Applicants should have a High school diploma or GED and some related experience.