Preadmit and Eligibility Benefits Specialist
Full-time position (1.0 FTE), primarily Monday–Friday, 08:00–17:00.
About the role
The Preadmit & Eligibility Benefits Specialist works closely with physicians’ offices, insurance companies, internal departments, and patients to ensure that all demographic information is gathered, insurance benefits are verified, all third-party and contractual reporting requirements are met, all necessary authorization and/or referrals are in place, and all financial data is complete. Other responsibilities may include performing medical billing functions to third-party payers and patients; reviewing paper and electronic claims to verify accuracy and completeness of charges; verifying ICD-9/ICD-10 coding, posting payments, and making adjustments; and researching and resolving minor patient complaints.
Requirements
- High school diploma (required).
- Associate degree in Business, Healthcare Administration, or other related field (preferred).
- Minimum 2 years of experience in a health care environment and familiarity with patient registration processes and insurance billing requirements (required).
- Computer experience, good verbal communication skills, and an understanding of current trends in insurance billing and other third-party reimbursement issues (required).
Pay
Starting wage: $23.28–$32.02 per hour, depending on experience.
Benefits
- Competitive, market-based compensation.
- Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
- Employer-sponsored retirement plan with company contribution and match.
- Generous paid time off (ETO) for part-time and above employees.
- Tuition reimbursement and tuition repayment program for continuing education.
- Life insurance, disability coverage, and employee assistance programs.