Healthcare Billing & Eligibility Specialist

San Diego Cardiac Center Medical Group Inc; San Diego (CA); On-site; USD 30,000 - 41,000; Full time

Job summary

San Diego Cardiac Center is seeking a Medical Billing and Eligibility and Authorization Coordinator to manage the claims process, ensure timely claim creation, and communicate with providers, insurers, and patients. The role includes credentialing, enrollment processing, and reporting for the SDCC.

Key responsibilities include coordinating patient eligibility, collecting copays, handling inquiries, resolving eligibility issues, and ensuring compliance with HIPAA guidelines in a fast-paced

Qualifications

• Experience in medical billing and eligibility processes.
• Strong knowledge of HIPAA regulations and patient privacy requirements.
• Excellent communication and problem-solving skills.

Responsibilities

• Coordinate the process of patient eligibility through various sources.
• Work with reception staff to collect copays, spend down, and self-pay fees.
• Handle inquiries from patients, clinic staff and insurers.
• Identify and resolve eligibility, referral, and authorization issues.
• Manage eligibility denials with insurance and patients.
• Notify supervisors of problems and maintain HIPAA compliance.

Skills

Eligibility coordination

Insurance follow-up

HIPAA compliance

Customer service

Epic software

Tools

Epic Systems

Job description

San Diego Cardiac Center is seeking a Medical Billing and Eligibility and Authorization Coordinator to manage the claims process, ensure timely claim creation, and communicate with providers, insurers, and patients. The role includes credentialing, enrollment processing, and reporting for the SDCC.

Key responsibilities include coordinating patient eligibility, collecting copays, handling inquiries, resolving eligibility issues, and ensuring compliance with HIPAA guidelines in a fast-paced