Eligibility Specialist processes insurance eligibility requests for physician practices across the US. They work in a team environment with specific work processes assigned. They will work closely with others across the revenue cycle to ensure timely and quality performance for assigned clients.
They will enjoy autonomy and independence while collaborating in a team environment.
This position is part time hours averaging 25hours per week.
Generates batch and as needed insurance eligibility checks per schedule/per client to provide eligibility status to providers prior to patient's arrival.
Identifies patients that eligibility has failed and will work to resolve through payer websites and or contacting patients in a timely manner via telephone, text or email.
Ability to prioritize eligibility reviews based upon appointment times.
Documents in practice management system all updates related to patient's eligibility.
Identifies trends and communicates to Supervisor/Manager with data examples or system reports as available.
Uses reports and workflow to monitor daily operations and performance; working with leadership to address positive/negative trends.
Responsible for completing assigned tasks while meeting productivity and quality standards.
Actively participates in team specific meetings, training and education.
Acts in the best interest of the company and its client's while maintaining and protecting the confidentiality of all ALN and client information.
Other duties as may be assigned.
ALN Medical Management