Insurance Eligibility Specialist

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Our client is a non-profit healthcare facility offering top-notch, quality care within their local community. Due to their recent success and expansion, they are hiring an Insurance Eligibility Specialist to verify patient’s policy coverage for healthcare services.

The Insurance Eligibility Specialist will collaborate with all relevant parties to resolve insurance concerns prior to patients receiving medical care. This individual will utilize their previous insurance eligibility knowledge to ensure patients receive the appropriate level of care. This is a contract to hire position.

This Role Offers:

Collaborative, team environment led by experienced and supportive leadership. Brand new, large-scale facility on the cutting edge of healthcare technology innovation. Loyal customer base, with dedication to supporting their local community. Management team driven by humility, integrity, and respect. Culture of high performance and quality customer care. Rewarding opportunity to help others and give back to the community through a non-profit organization.

Focus:

Responsible for reviewing insurance claims, verifying insurance coverage, handling billing discrepancies, and assisting in patient account questions/disputes. Provide auditors, billers, posters, and other insurance collections specialists with assistance on outstanding claims payments. Use various tools and methods to process and trace insurance claims. Communicate with patients about their insurance and additional payment information. Maintain excellent documentation for all activities. Work closely with other hospital teams to ensure patients receive accurate information. Monitor updates to insurance regulations and advise hospital personnel when needed.

Skill Sets:

1+ years of experience assessing patient eligibility and verifying insurance in a healthcare setting. Must possess a high school diploma or education equivalent. Strong understanding of medical and insurance terminology and billing procedures. Experience with processing payments, reconciliations, and claims. Proficiency with EMR and medical billing systems. Strong understanding of medical and insurance terminology. Excellent communication skills, with the ability to engage and effectively communicate instruction. Quick learner and ability to work in a fast-paced environment. Ability to maintain confidentiality and adhere to HIPAA regulations.

About Blue Signal: 
Blue Signal is a leading executive search firm specializing in healthcare recruiting. Our healthcare recruiters have expertise in placing high-performing talent in healthcare IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr