Eligibility Counselor

Position Summary

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

Education

High School diploma or equivalent.

Training and Experience

• 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.

Qualifications

• 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.