Eligibility Specialist - Searcy at Unified Health Services LLC

Searcy, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Sep, 26

Salary

15.0

Posted On

02 Jul, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Data Entry, Customer Service, Microsoft Word, Microsoft Excel, Microsoft Power Point, Keyboarding, Analytical Thinking, Problem Solving, HIPAA Compliance, Multi-tasking, Patient Access

Industry

Hospitals and Health Care

Description

Description Job Title: Eligibility Specialist Department: Patient Access Reports To: Eligibility Supervisor Job Grade: 2 Summary of Responsibilities At UHS, Eligibility Specialists are responsible for communicating with insurers, employers and/or patients in order to ensure the accuracy of all claim data in an efficient manner that results an expeditious flow of work throughout the Patient Access area. Determine eligibility, maintain and complete data requirements for all claim records, demonstrating efficiency and the desire to produce results. Documentation of claim information through the use of multiple systems and online resources with a high level of accuracy. Troubleshoot and resolve claim records with missing or inadequate information by using analytical thinking skills. Establishes rapport and credibility with contacts by providing excellent customer service in a professional and respectful manner. Promptly handles escalated claims to ensure short turn-around times in other departments by understanding the “bigger picture” and valuing teamwork. Adheres to all HIPAA/state/federal guidelines for communication regarding patient health information (PHI). Requirements Required Qualifications, Skills, Knowledge: High school diploma. College degree is not required, but some college preferred. Knowledge of Windows, Power Point, Word and Excel or similar programs required. Strong keyboarding skills – fast and accurate 50 WPM with a 97% accuracy Investigative, curious and problem-solving mindset with the ability to multi-task Mature, patient, and able to appropriately handle difficult situations Able to handle high workload volume timely and accurately Must have a cheerful, pleasant disposition and enthusiasm for the position Excellent data entry skills and an above average attention to detail Able to work independently. Must be reliable and a self-starter. Salary commensurate with experience

Responsibilities

The Eligibility Specialist communicates with insurers and patients to ensure the accuracy of claim data and facilitate efficient workflow in Patient Access. They are responsible for documenting claim information, troubleshooting missing data, and adhering to HIPAA guidelines.