Healthcare Eligibility & Access Specialist

The Indian Health Service; United States; Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

The Indian Health Service seeks a Contact Representative to help American Indian communities access healthcare. You will assist with eligibility, medical authorizations, referrals, and benefits while ensuring accurate records and compliant processes.

This role emphasizes customer service, data entry, and coordination with clinics; you'll work in a federal environment, adhere to regulations, and contribute to public service.

Qualifikationen

• Experience or education in eligibility and benefits tasks.
• Ability to interview patients and collect required documentation.
• Ability to maintain accurate patient records and data entry.

Aufgaben

• Identify and verify patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other resources.
• Interview patients to obtain required documentation.
• Assist individuals and families with benefit applications.
• Review records to determine the status of claims and applications.
• Respond to inquiries regarding eligibility requirements, benefits, and program guidelines.
• Maintain accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims.
• Determine eligibility and issue medical authorizations and denial determinations.
• Coordinate referrals and follow-up with healthcare facilities to support continuity of care.

Kenntnisse

Customer service

Data entry

Communication

Jobbeschreibung

The Indian Health Service seeks a Contact Representative to help American Indian communities access healthcare. You will assist with eligibility, medical authorizations, referrals, and benefits while ensuring accurate records and compliant processes.

This role emphasizes customer service, data entry, and coordination with clinics; you'll work in a federal environment, adhere to regulations, and contribute to public service.