Eligibility Validation Specialist (Patient Access)

UofL Health; Louisville (KY); On-site; USD 42,000 - 64,000; Full time

Job summary

UofL Health in Louisville, KY is seeking an Insurance Verification Specialist to support patient accounts and determine eligibility, benefits and co-pays. This role requires attention to detail and strong communication with patients and providers.

You will verify coverage six days prior to visits, calculate deductibles and coinsurance, and coordinate authorizations when needed. Experience with Centricity and Microsoft Office is a plus. HIPAA compliance is essential.

Qualifications

• High school diploma or GED required.
• Five years of insurance experience preferred.
• Understanding of insurance policies and processes.
• Proficient in using insurance websites.
• Strong customer service and communication skills.
• Ability to multi-task and work in a fast-paced environment.

Responsibilities

• Verifies patient eligibility six days out from appointment.
• Determines patient benefits including deductibles, co-insurance and co-pay amounts.
• Verifies if authorizations are required and obtain, if necessary.
• Verifies benefits.
• Calls patients prior to appointment if there is a problem with patient's insurance.
• Works with patients to pay balances on account or create payment plan for balances due.
• Works hold bill and marked event alerts.
• Determines what is needed for the upcoming visit ex; consent, arrival form, ID, insurance card, picture, etc.
• Works visit insurance and arrange FSC accordingly.

Skills

Insurance knowledge

Web portal usage

Adaptability

Customer service

Interpersonal skills

Organization

Work ethic

Teamwork

Professional appearance

Education

High school diploma or GED

Tools

Centricity

Microsoft Office

Job description

UofL Health in Louisville, KY is seeking an Insurance Verification Specialist to support patient accounts and determine eligibility, benefits and co-pays. This role requires attention to detail and strong communication with patients and providers.

You will verify coverage six days prior to visits, calculate deductibles and coinsurance, and coordinate authorizations when needed. Experience with Centricity and Microsoft Office is a plus. HIPAA compliance is essential.