Insurance Eligibility & Access Coordinator

Hope Christian Health Center; North Las Vegas (NV); On-site; USD 38,000 - 54,000; Full time

Job summary

Hope Christian Health Center is seeking an Insurance Eligibility and SFS Coordinator to verify patient insurance eligibility and determine Sliding Fee Scale eligibility within a patient-centered medical home. The role emphasizes accurate data entry and timely access to care while ensuring payer requirements are met.

Responsibilities include updating the EMR with insurance and demographic details, reviewing billing invoices for Quest Diagnostics and LabCorp, and communicating clearly with the

Qualifications

• Experience verifying medical insurance eligibility and payer requirements.
• Knowledge of Medicare/Medicaid, managed care, and commercial plans.
• Ability to interpret Explanation of Benefits (EOB).

Responsibilities

• Verify patient insurance eligibility and determine Sliding Fee Scale eligibility.
• Update EMR with accurate demographic and insurance data and resolve entry errors.
• Review and reconcile Lab diagnoses invoices and billing discrepancies.
• Maintain patient confidentiality and HIPAA compliance.
• Coordinate with front office for appointments, referrals, and payments.

Skills

Insurance verification

Payer guidelines

HIPAA compliance

Communication

Documentation accuracy

Education

High School Diploma or equivalent

Tools

EMR system

Job description

Hope Christian Health Center is seeking an Insurance Eligibility and SFS Coordinator to verify patient insurance eligibility and determine Sliding Fee Scale eligibility within a patient-centered medical home. The role emphasizes accurate data entry and timely access to care while ensuring payer requirements are met.

Responsibilities include updating the EMR with insurance and demographic details, reviewing billing invoices for Quest Diagnostics and LabCorp, and communicating clearly with the