Remote Eligibility Specialist – Patient Insurance & Billing

Optim Orthopedics; Savannah (GA); A distancia; USD 42.000 - 56.000; Jornada completa

Descripción de la vacante

Optim Orthopedics is seeking a full-time Eligibility Specialist/Remote. The role is based in Savannah, GA, but offers remote work options.

The specialist will review schedules, verify insurance eligibility and benefits, update copay information in Athena, monitor EMR eligibility, and assist in resolving billing and authorization issues to ensure accurate and timely patient scheduling. The position emphasizes HIPAA compliance, accurate data entry, and collaboration with front desk staff and

Formación

• Experience verifying insurance eligibility and benefits.
• Knowledge of the insurance claim process, EOBs and patient statements.
• Maintain HIPAA compliance and confidentiality in handling patient information.
• Accurate demographic and data entry in EMR systems.

Responsabilidades

• Review clinic schedules 48 hours in advance for designated locations.
• Update copay information in Athena and note co-insurance, deductibles, and balances due before appointments.
• Monitor eligibility in EMR for upcoming appointments and verify insurance status.
• Assist with eligibility issues identified by Patient Access Coordinators.
• Verify authorizations are obtained and attached to the appropriate appointment.
• Possibly assist in setting up payment plans for patients.
• Identify trends or issues affecting accounts and communicate resolutions to supervisor.
• Escalate problems to Manager or Supervisor as appropriate.
• Maintain professional documentation and respond to patient calls promptly.

Conocimientos

Insurance eligibility

EMR systems

Practice Management System

Data entry accuracy

HIPAA compliance

Patient communication

Billing and collections

Herramientas

Athena

EMR

Practice Management System

Descripción del empleo

Optim Orthopedics is seeking a full-time Eligibility Specialist/Remote. The role is based in Savannah, GA, but offers remote work options.

The specialist will review schedules, verify insurance eligibility and benefits, update copay information in Athena, monitor EMR eligibility, and assist in resolving billing and authorization issues to ensure accurate and timely patient scheduling. The position emphasizes HIPAA compliance, accurate data entry, and collaboration with front desk staff and