Eligibility Specialist

Healthlinc; Valparaiso (IN); On-site; USD 23,000 - 30,000; Full time

Job summary

HealthLinc in Valparaiso, IN is seeking an Eligibility Specialist to verify insurance eligibility and prepare schedules to ensure accuracy before patient appointments.

Responsibilities include communicating with billing, updating insurance details, and coordinating with Patient Service Reps to collect necessary documentation. Must be able to work in a team and manage time effectively.

Qualifications

• Education includes a high school diploma or equivalent.
• Experience with eligibility and health insurance concepts preferred.
• Strong communication and teamwork skills required.

Responsibilities

• Verify Eligibility.
• Communicate issues to the billing department as they arise.
• Verify if a patient is due for a specialty service prior to their appointment.
• Check all insurance details to ensure accuracy of insurance.
• Review and update patients’ insurance the day before their appointment.
• Import necessary documentation into the patients’ charts.
• Call insurance companies to verify coverage as needed.
• Work closely with Patient Service Reps to collect necessary documentation.
• Work on Third Party Liability (TPL) updates.
• Complete tasks in a timely manner.

Skills

Customer service

Teamwork

Time management

Written and verbal communication

Education

High school diploma or equivalent

Tools

Intergy

FSSA

Insurance portals

Job description

As an Eligibility Specialist, you will be verifying insurance eligibility and performing schedule preparation to ensure the accuracy of insurance prior to patients’ appointments.JOB RESPONSIBILITIES:Verify Eligibility.Communicate issues to the billing department as they arise.Verify if a patient is due for a specialty service prior to their appointment.Check all insurance details to ensure accuracy of insurance.Review and update patients’ insurance the day or day(s) prior to their appointment.Import necessary documentation into the patients’ charts.Call insurance companies to verify insurance coverage as needed.Work closely with Patient Service Reps to collect necessary documentation at the clinic.Work on Third Party Liability (TPL) updates.Works Tasks in a Timely manner.All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.REQUIRED QUALIFICATIONS:Education/TrainingHigh school diploma or equivalentExperienceMinimum one year experience working with eligibilityPatient Service Representative, Billing, Intake Coordinator or Outreach experience highly preferredExperience with interpreting Explanation of Benefits highly preferredExperience with medical terminology highly preferredSkills/Job RequirementWorking knowledge of Intergy, FSSA, and insurance portalsCustomer service skillsWritten and verbal communication skillsProven ability to work in a team environment, as well as independentlyAbility to remain flexible and teachableStrong organizational and time management skillsTechnology SkillsOperate a multi-line phone system and other office equipment including printers, fax machines, etc.Basic software skills (Microsoft Office, EHR, online sources, etc.)