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Easterseals MORC is hiring an Eligibility Specialist to help determine financial eligibility for services. The role involves demographic data collection, verifying insurance information, and entering benefits into the billing system to allocate charges to first party payers.
Responsibilities include conducting financial determinations, researching insurance, supporting reimbursement efforts, and liaising with agencies and families. On-site team collaboration is essential.
Job Category: Adm Support - CSR/Reception/Asst/Schedulers
Requisition Number: ELIGI004361
Showing 1 location
Clinton Township
15600 19 Mile Rd
Clinton Township, MI 48038, USA
Clinton Township
15600 19 Mile Rd
Clinton Township, MI 48038, USA
Easterseals MORC is hiring for an Eligibility Specialist to help make a difference and become part of something bigger than yourself!
We are looking for Game Changers!
The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.
Benefits of Being a Superhero!
Qualifications:
Duties and Responsibilities:
1. Demographic Information Collection: Interviews consumers, families, guardians, service providers, employers and various governmental agencies to obtain information to determine financial liability
2. Completes financial determinations, verifies and researches insurance information and enters all insurance benefits on-line to the department’s billing system to allocate charges to first party payers, produce first party bills and maintain accounts receivable
3. Conducts special studies and surveys in such areas as feasibility of offering new services, improvement of efficiency and economy
4. Gathers financial information for the determination of ability to pay for cost of care
5. Community Contact Regarding Consumer Financial Status: Contacts financial institutions, insurance companies and various governmental agencies and programs to determine and enroll consumers in benefit programs to reimburse for mental health services provided
6. Testifies at appeal hearings regarding financial liability
7. Collects and reviews consumer information to obtain and maintain Medicaid coverage
8. Provides liaison activities with governmental agencies, consumers, providers, parents/guardians and others regarding reimbursement matters
Easterseals MORC was awarded Metro Detroit and West Michigan 101 Best & Brightest Companies to Work For!
High School or better.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.