Preadmit & Eligibility Benefits Specialist

Position Details

FTE: 1.0 | Full Time | Primarily Monday–Friday, 08:00–17:00

Starting Wage: $23.99–$32.99 per hour, depending on experience

Position Summary

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.

Qualifications

Education

• High school diploma required
• Associate degree in Business, Healthcare Administration, or other related field preferred

Experience

• Minimum 2 years of experience in a health care environment
• Familiarity with patient registration processes and insurance billing requirements required
• Computer experience required
• Good verbal communication skills required
• Understanding of current trends in insurance billing and other third-party reimbursement issues required

Benefits

• 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 ETO (Paid Time Off) for part-time and above employees
• Tuition reimbursement and tuition repayment program
• Life insurance, disability coverage, and employee assistance programs