Eligibility Specialist job vacancy in Relievus – Jobs in Mount Laurel, NJ 08054

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Job Details
Company Name :
Company Location :
Mount Laurel, NJ 08054
Job Position :
Eligibility Specialist
Job Category :
Jobs in California

Job Description :
The Eligibility Specialist gathers, researches, and updates insurance eligibility received from patients, and insurance companies to maintain accurate information for claims processing.

Essential Duties and Responsibilities:

Uses EMR and payor Portals to perform eligibility checks.
Obtain benefit information as well as identify the PCP (Southeast Region Only)
Ensures that each appointment is reviewed for a valid referral the day before the appointment
Reviews each referral to ensure the information listed is accurate and complete, and tracks and monitors referrals for expiration
Obtains authorization for workers compensation office visits
Runs and reviews each schedule daily for appointments deletions and additions, at least three (3) days in advance of the appointment date
Takes payments via phone.
Processes daily correspondence.
Answers billing questions and inquiries from patients and internal staff. Inquiries/questions may come in via the EMR task bucket or via phone.
Updates patient files with address changes, contact information changes, etc., as needed.
Creates, maintains and updates reports, as directed.
Update Phreesia with patient financial balance information
Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
Checks work e-mail on a regular basis throughout the workday.
Participates in and complete all required trainings and in-services.
Performs other duties as assigned.

Minimum Qualifications:

High School Diploma, or equivalent.
Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
Must have excellent written and oral communication skills, including exceptional customer service.
Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
Must be able to work individually as well as within a team.
Must be able to follow both verbal and written instructions.
Must be able to work a flexible schedule.
Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations.
Must be able to multi-task and prioritize.
Must demonstrate extreme attention to detail.
Must possess strong organization skills.
Must be able to problem solve and use reasoning.
Must be able to meet predefined quality standards.
Must maintain and project a professional attitude and appearance at all time.
Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology.
Must have a working knowledge of CPT and ICD-10 coding rules.
Must have a solid foundation of insurance knowledge and guidelines for third party payers.
All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications:

Three (3) years’ related experience
One (1) year experience working with an Electronic Medical Record (EMR).

The employee must have reliable transportation. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.

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