Eligibility Verification Specialist
hace 7 días
Pediatric Associates is seeking a highly detail-oriented and organized Eligibility Verification Specialist to join our team. As a key member of our Pediatric Care Team, you will be responsible for verifying insurance eligibility for future patient appointments, documenting eligibility notes, and performing patient outreach as needed.
Key Responsibilities- Verify insurance eligibility for future patient appointments using Pediatric Associates Eligibility Verification Quality Checklist.
- Review patient insurance for future appointments and identify eligibility requirements based on health plan.
- Utilize various resources to determine insurance eligibility, including system checks and web portals.
- Identify eligibility issues, communicate them to patients/parents, and accurately document action taken.
- Complete all assigned appointments efficiently, within the expected timeframe.
- Collaborate with office locations to coordinate patient callbacks for appointment rescheduling.
- Communicate effectively with supervisors, escalating issues as needed.
- Meet productivity standards as determined.
- Education: High School Diploma or equivalent.
- Language: Proficient in English and Spanish.
- Location: Monterrey, N.L., Mexico.
- Experience: 1-2 years of experience preferred. Must be detail-oriented and able to efficiently complete a high volume of tasks using multiple sources.
- Skills: Excellent documentation skills, manual dexterity, and ability to operate office equipment.
Pediatric Associates is a leading provider of pediatric primary care services. We are committed to delivering high-quality, patient-centered care to our communities. Our team is dedicated to making a positive impact on the lives of children and families.
We are an Equal Employment Opportunity/Affirmative Action employer and welcome applications from diverse candidates. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity, or expression.
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