Eligibility Counselor

About the role

Performs all functions necessary to ensure accurate and timely review of unfunded patient account, including application processing and follow-up until approved or denied. Processes internal and external referrals for additional assistance or follow-up.

Qualifications

Education: High School diploma or equivalent. Prior experience in medical field preferred.

Knowledge of but not limited to:

• admitting/registration process
• receivables management
• credit and collection laws
• billing forms
• medical billing regulations
• insurance benefit calculations
• HMO/PPO contracts
• third party funding resources

Requirements

General knowledge of medical business office practices. Strong communication skills. Basic understanding of business application software. Ability to maintain calm temperament under stressful conditions. Good math skills, deductive reasoning and general office machine operations.

Working Conditions

Extended periods of sitting, extensive data entry, possible exposure to patients with infectious disease.