PURPOSE
- The Eligibility Specialist is a member of the intake team and is responsible for checking eligibility for patients with current and new referrals.
DUTIES
- The duties duties of this position are those described below. This job description does not state or imply that the duties listed are the only duties and responsibilities assigned to this position. Employees holding this position will be required to perform any other job-related duties as requested by management.
ESSENTIAL DUTIES
- Screen patients for eligibility check
- Assist in Intake processes
- Follow up with provider offices for eligibility missing documents
- Follow up with patients about eligibility documents
- Work with processing teams on effective eligibility turnaround times
- Complete a comprehensive benefit and qualities heath insurance assessment for each patient
- Other duties as assigned
EDUCATION REQUIREMENTS
- High school diploma or equivalent
- College degree a plus
EXPERIENCE REQUIREMENTS
- Must have a high school diploma
- A minimum of 2 years of experience with medical/pharmacy insurance eligibility
- Proficiency in a Windows computer software (MS Word/Excel) preferred
- Excellent oral and written skills
- Exceptional interpersonal skills and team player
- Ability to work independently and self-manage
- Ability to execute "outreach plans," collect data, and prepare reports
- Follow agency policies and maintain organizational standards with regards to client confidentiality and HIPAA compliance
- Bi-lingual English/Spanish preferred
EQUIPMENT USED
- PC, Calculator, Office Copying, Fax and Scanning Machine
COMPUTER SKILLS AND APPLICATIONS
- Good proficiency in Microsoft Office Suite (Word, Excel) familiarity with PowerPoint, Outlook; ability to use the internet for research and information in support of job duties.
WORK ENVIRONMENT
- The majority of the duties of this position are performed in a typical office environment
- The noise level in the work environment is usually moderate
PHYSICAL DEMANDS(All requirements are subject to possible modification to reasonably accommodate individuals with a disability)
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the 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 may be required to sit, stand, stoop, bend and walk intermittently during the day.
- Shifts stagard and may vary.
- The employee is occasionally required to climb, balance, stoop, kneel, crouch, crawl; talk or hear; taste or smell; use hands to finger, handle, or feel; and reach with hands and arms.
- Finger dexterity to operate office equipment is required. May need to lift up to twenty-five (25) pounds on occasion.
- Visual acuity to see and read fine prints.
- Specific vision abilities required by this role include close vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
We are an equal opportunity employer, dedicated to promoting a culturally diverse workforce. All qualified applicants will receive consideration for employment without regards to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
City of Los Angeles' Fair Chance Initiative:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Work Remotely
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- medical insurance; intake & eligibility: 2 years (Required)
Work Location: In person