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Insurance Eligibility Specialist

hace 2 meses


San Pedro Garza García, Nuevo León, México Pediatric Associates A tiempo completo
Job Summary

We are seeking a detail-oriented and efficient Insurance Eligibility Specialist to join our team at Pediatric Associates. As a key member of our staff, you will be responsible for verifying insurance eligibility for future patient appointments, documenting eligibility notes, and performing patient outreach as needed. Your excellent customer service skills will ensure a positive experience for our patients and their families.

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
  • Update patient insurance details accurately and efficiently
  • Identify eligibility issues, communicate them to patients/parents, and accurately document action taken
  • Meet productivity standards as determined by the company
Requirements

To be successful in this role, you will need:

  • High School Diploma or equivalent
  • Proficiency in English and Spanish
  • 1-2 years of experience in a similar role, preferably in a healthcare setting
  • Excellent documentation skills and attention to detail
Working Conditions

This role requires working in a professional office environment, with clear and concise communication using email and phone. You will need to be able to operate a keyboard, type at 35 wpm, and use 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.