Benefit and Eligibility Specialist

US-AZ-Chandler
2 weeks ago
Job ID
2017-1207
# of Openings
1
Category
Administrative

Overview

Benefit and Eligibility Specialist

 

 

MY DR NOW

Healthcare Delivered.

Anyone. Anywhere. Anytime.

We make it ridiculously easy and affordable to obtain services that make life better.

 

 

Compensation: $14/hr +, Non-Exempt DOE

Job Type: Full- Time

Benefits: BCBS Health, 401K, Paid Vacation & Sick Time Off, Dental, Vision, Pet Insurance, & Voluntary Life

Location: Chandler, Arizona

Schedule: Full-Time

MY DR NOW is open Monday- Friday 8AM to 8PM and Saturday and Sunday 8AM to 4PM. Applicants must be willing to work 12 hours shifts and rotating weekends.

 

 

Starting in 2007, MY DR NOW is a growing provider of healthcare services with 7 busy clinics in the East Valley and West Valley.  And since 2015 our newest division, Provider House Calls, is experiencing a large growth explosion throughout our city and has recently expanded into Tucson and Northern Arizona.  This growth means we need to recruit more operational staff to support these provider services.  Our physicians (MD & DO), nurse practitioners (NP) and physician assistants (PA) that provide the services are growing exponentially and we need you to keep providing healthcare services to our patients in our clinics and their homes.

 

NO HEALTHCARE EXPERIENCE NEEDED!

 

  • Do you find yourself to be an efficient multi-tasker?
  • Find yourself to be efficient and accurate? 
  • Do you tend to complete multiple tasks in a timely manner?
  • Are you looking for a position that will allow you to prove it?
  • Leave your boring office job and come work in a fun, enjoyable, and fast-paced environment! Never a dull day, great benefits, and opportunity to grow within the company. We do not require experience in a medical environment!

  

MY DR NOW is seeking an experienced and talented Benefit and Eligibility Specialist to join our team! The position will be responsible for real-time benefit and insurance eligibility verification for assigned client location(s) by utilizing all resources in the most efficient way possible to assure patient check-in is completed within the assigned time frames.

Responsibilities

  • Verifies benefit and insurance eligibility for assigned client location(s) for same day, next day, and prior visits (when necessary), in real-time
  • Research and correct any rejection errors/claims from the clearinghouse for insurance/eligibility and demographic errors
  • Assures all patient registration data is collected and entered accurately and timely to complete the patient check-in process; to include necessary demographic information, past medical history, and insurance policy information
  • Verifies patient balance with client (if any) and deductible for insurance plan and communicates through IM what monies are to be collected by Front Office associate before patient is checked-in
  • Completes necessary patient PCP change notifications, follow-up, and record keeping
  • Alerts A/R Manager to issues in real-time that affect patient transit times, PCP changes, and clean claim submission
  • Accurate understanding of all client company policies and procedures to ensure all functions and services are performed according to the client’s guidelines
  • Perform all functions with the highest level of competency, efficiency, and extreme customer service skills; demonstrate understanding and consistent application of all client services and promotional programs
  • Make recommendations for updates to procedure manuals to maximize efficiency and productivity, minimize the risk of fraud and abuse, and assure all patients are provided with extreme customer service
  • Participate in departmental meetings
  • Conducts self in accordance with MY DR NOW and Good Health Financial’s mission and values and employee manual
  • Supports decisions made by management and always upholds the reputation of MY DR NOW and Good Health Financial and of our client(s)
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
  • Performs other duties and special projects as requested

Qualifications

 

  • Dedication: demonstrated commitment to organization's mission and values, continued passion striving for knowledge and excellence within the medical practice management industry
  • Management: ability to organize and manage multiple priorities simultaneously
  • Problem Solving: problem analysis and resolution at both a strategic and a functional level
  • Planning: Ability to think ahead and plan over a one- to two-year time span
  • Customer Service: ability to provide excellent customer service in all situations including oral and written communication
  • Interpersonal: ability to effectively and professionally communicate and collaborate with internal and external stakeholders
  • Comprehension: Ability to read, understand and follow oral and written instructions
  • Knowledge: medical billing/coding/collections practices, and third-party operating procedures and practices
  • Communication: excellent interpersonal and communication skills
  • Technical: basic computer proficiency and knowledge of Microsoft Word and Excel programs

 

 

 

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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