Strategic Benefits & Eligibility Lead

Positive Impact Health Centers INC; Duluth (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Positive Impact Health Centers INC is seeking a Lead Eligibility Specialist to verify insurance eligibility and benefits, assist patients with financial obligations, and manage federal funded programs such as Ryan White and SAMHSA. The role may include front office duties like greeting patients, collecting copays, and updating patient records.

Qualified candidates have a high school diploma or GED with clerical medical experience; college degree is preferred and at least three years in

Qualifications

• Minimum high school diploma or GED with clerical experience in a medical environment.
• College degree is preferred.
• At least three years in healthcare customer services, insurance verification, or federal-funded services.

Responsibilities

• Coordinate eligibility training, efficiency, and productivity for the team.
• Verify insurance and benefits to ensure timely claim submission and payment.
• Input demographic, billing, and insurance data into the medical management system.
• Process intake forms and verify benefits and financial obligation for new clients.
• Educate clients about financial and insurance benefits and government funds.
• Assist in billing and collection of patient accounts.
• Collect documentation for federal funded services eligibility and upload to EMR.

Skills

Insurance verification

Customer service

Data entry

Interpersonal communication

Education

High school diploma or GED

College degree preferred

Tools

Medical management system

Payer portals

Job description

Positive Impact Health Centers INC is seeking a Lead Eligibility Specialist to verify insurance eligibility and benefits, assist patients with financial obligations, and manage federal funded programs such as Ryan White and SAMHSA. The role may include front office duties like greeting patients, collecting copays, and updating patient records.

Qualified candidates have a high school diploma or GED with clerical medical experience; college degree is preferred and at least three years in