Eligibility Specialist

The Eligibility Specialist provides support to the Revenue Cycle team by conducting patient insurance eligibility reviews for upcoming appointments

• This is a remote role but must reside in Georgia or Texas*
  
  

Essential Duties and Responsibilities include but are not limited to the following. Other

duties may be assigned.

• Verify insurance coverage for upcoming appointments
• Obtain insurance summaries when changes are identified
• Update patient files with most current insurance information available
• Identifies, maintains and protects sensitive HIPAA information (PHI) and follows
  
  

procedures to ensure the security of such information.

Qualifications

• High School Diploma or GED
• Strong attention to detail and organizational skills
• Ability to work independently and part of a team
• Familiarity with HIPAA and other regulatory requirements
  
  

System Requirements for Remote Work:

 Active ID.ME account (required for access to insurance site)

 Reliable internet access, recommended minimum speed of 5mb

 Laptop or PC with the following:

• Windows 11
• I5 Processor (I9 preferred)
• 16 GB Ram
• 500 SSD
  
  

 Keyboard with numeric keypad

 Access to webcam, microphone and speaker

Competency Requirements:

Problem Solving

Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully;

Develops alternative solutions; Works well in group problem solving situations; Uses reason

even when dealing with emotional topics.

Teamwork

Balances team and individual responsibilities; Exhibits objectivity and openness to others' views;

Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of

team above own interests; Able to build morale and group commitments to goals and objectives;

Supports everyones efforts to succeed.

Organizational Support

Follows policies and procedures; Completes administrative tasks correctly and on time; Supports

organizations goals and values; Benefits organization through outside activities; Supports

affirmative action and respects diversity.

Quality

Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality;

Applies feedback to improve performance; Monitors own work to ensure quality.

Interpersonal Skills

Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without

interrupting; Keeps emotions under control; Remains open to others; ideas and tries new things.

Written Communication

Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to

meet needs; Presents numerical data effectively; Able to read and interpret written information.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral,

or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Physical Demands

The physical demands described here are representative of those that must be met by an

employee to successfully perform the essential functions of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential

functions. While performing the duties of this Job, the employee is regularly required to sit; use

hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach

with hands and arms. The employee is occasionally required to stand and walk. The employee

must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job

include close vision, distance vision, color vision, peripheral vision, depth perception and ability

to adjust focus.

Work Environment

This is a fully remote part time position with a maximum of 20 hours per week. The work

environment characteristics described here are representative of those an employee encounters

while performing the essential functions of this job. Reasonable accommodations may be made

to enable individuals with disabilities to perform the essential functions. The noise level in the

work environment is usually moderate.

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