Insurance Eligibility Specialist

Hmixray; Arizona; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Health Savings Account

Wellness dollars

401(k) match

Free imaging services for employee

Job summary

Radiology Forward, located in the United States, seeks an Insurance Eligibility Specialist to join a patient-focused team. You will verify eligibility with insurers, collect accurate information, and support providers and patients through compliant, efficient processes.

The role requires strong customer service, attention to detail, and the ability to multitask in a fast-paced healthcare environment. Applicants should have a HS diploma or GED and related experience.

Qualifications

• Must have one of the following: a high school diploma or GED, at least 3 to 6 months of related experience and/or training, or an equivalent combination of education and experience.
• Possess and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
• Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management.

Responsibilities

• Ensures accurate, timely, and thorough documentation and completion of all necessary tasks according to established standards.
• Ensures accurate and timely data entry into the RIS system for each patient, according to established standards.
• Utilizes telephone voice response systems and website solutions to obtain information on patients' eligibility status with insurance companies.
• Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods.
• Properly analyzes various payer eligibility responses to find the information needed to complete verifications.
• Follows all HIPAA, compliance, privacy and confidentiality standards.
• Maintains patient confidentiality at all times.
• Demonstrates professionalism and courtesy to patients, families/guests and other team members.
• Communicates clearly and effectively.
• Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner.
• Provides thorough and accurate information to all callers.
• Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary.
• Scans all applicable paperwork into eRad RIS.
• Promotes a positive and supportive relationship with referring community and fellow employees.
• Performs other duties as assigned.

Skills

Customer service

Attention to detail

Multitasking

Education

High school diploma or GED

Tools

eRad RIS

Job description

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as an Insurance Eligibility Specialist, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will:

• Ensures accurate, timely, and thorough documentation and completion of all necessary tasks according to established standards.
• Ensures accurate and timely data entry into the RIS system for each patient, according to established standards.
• Utilizes telephone voice response systems and website solutions to obtain information on patients' eligibility status with insurance companies.
• Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods.
• Properly analyzes various payer eligibility responses to find the information needed to complete verifications.
• Follows all HIPAA, compliance, privacy and confidentiality standards.
• Maintains patient confidentiality at all times.
• Demonstrates professionalism and courtesy to patients, families/guests and other team members.
• Communicates clearly and effectively.
• Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner.
• Provides thorough and accurate information to all callers.
• Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary.
• Scans all applicable paperwork into eRad RIS.
• Promotes a positive and supportive relationship with referring community and fellow employees.
• Performs other duties as assigned.

You Are:

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
• Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

To Ensure Success In This Role, You Must Have:

• Must have one of the following: a high school diploma or general education degree (GED), at least 3 to 6 months of related experience and/or training, or an equivalent combination of education and experience.
• Possess and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
• Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management.

We Offer:

• Comprehensive Medical, Dental and Vision coverages.
• Health Savings Accounts with employer funding.
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family.