Patient Access & Eligibility Specialist

Talentify; San Dimas (CA); On-site; USD 23,000 - 28,000; Full time

Job summary

Talentify is seeking a healthcare encounter specialist to review, verify, and fill in missing registration and insurance information on encounters received electronically. You will ensure accurate payer data and support timely billing while adhering to HIPAA guidelines and company policies.

The role involves coordinating with Billing, Coding, Enrollment, EDI, and Leadership teams, and requires attention to detail and the ability to work independently in a fast-paced environment.

Qualifications

• Requires High School Graduate or GED.
• Minimum of one year in the healthcare industry.
• Experience with Athena IDX a plus.
• Preferred Insurance data entry / Medical Front office training and/or Certification.

Responsibilities

• Manages multiple client accounts according to assigned volume and productivity expectations.
• Routinely monitors and reports low volumes, missing dates of service, and encounters lacking required insurance or payer information.
• Uses the AthenaIDX to update and correct demographic records based on hospital/client data, resolving demographic, insurance, and Patient Access-related errors, edits, and rejections.
• Conducts necessary verification checks and assigns accurate payer information to support timely billing and maintaining accuracy.
• Takes ownership of Level 2 escalations from the offshore team and resolves issues preventing claim submission.

Skills

Attention to detail

Accuracy

Communication

Time management

Independent work

HIPAA knowledge

Education

High School Diploma or GED

Medical Front Office certification

Tools

Athena IDX

Excel

Job description

Talentify is seeking a healthcare encounter specialist to review, verify, and fill in missing registration and insurance information on encounters received electronically. You will ensure accurate payer data and support timely billing while adhering to HIPAA guidelines and company policies.

The role involves coordinating with Billing, Coding, Enrollment, EDI, and Leadership teams, and requires attention to detail and the ability to work independently in a fast-paced environment.