Eligibility Verification Coordinator

hace 3 semanas

San Pedro Garza García, Nuevo León, México Pediatric Associates A tiempo completo
Job Title: Eligibility Verification Coordinator

Job Summary:

Pediatric Associates is seeking a detail-focused Eligibility Verification Coordinator to verify insurance eligibility for future patient appointments and provide excellent customer service.

Key Responsibilities:

Follow Pediatric Associates Eligibility Verification Quality Checklist to determine insurance eligibility
Review patient insurance for future appointments and identify eligibility requirements based on health plan
Use all available resources to determine insurance eligibility (e.g. system, web portals, phone)
Update patient insurance details accurately
Identify eligibility issues, communicate them to patients/parents and accurately document action taken
Complete all assigned appointments efficiently, within the expected timeframe
Communicate with office location via email, Microsoft Teams and/or phone to coordinate patient callbacks for appointment rescheduling
Communicate effectively with supervisor, escalating issues as needed
Meet productivity standards as determined

Requirements:

• High School Diploma or equivalent
• Proficient in English and Spanish
• 1-2 years experience preferred
• Detail-oriented and able to efficiently complete a high-volume of tasks using many sources
• Excellent documentation skills required

Working Conditions:

Working in a professional office environment. Clear and concise communication using email and phone is necessary. Requires manual dexterity sufficient to operate a keyboard, type at 35 wpm, operate copier, and other office equipment as necessary.

Pediatric Associates is an Equal Employment Opportunity/Affirmative Action employer and 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, marital status, genetic information, or any other characteristic protected by law.

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