Coordinates the day to day task functionality of the Eligibility Services department.
Maintains thorough working knowledge of department policies and procedures.
Maintains thorough working knowledge of relevant federal, state, and county benefit program requirements as well as Charity / Hospital Financial Assistance programs.
Collaborates with SMARTS , and shares information with colleagues and Supervisors.
Assists with quality assurance audits and team productivity.
Acts as floater to erase deficiencies when work volume spikes or staffing gaps are present.
Subject matter expert for system build partnership, workflow enhancement management, and partnering with external departments for build resolution.
Requirements
1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
Understanding of Revenue Cycle including admission, billing, payments and denials.
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of Health Insurance requirements.
Knowledge of medical terminology or CPT or procedure codes.
Patient Access experience with managed care/insurance and Call Center experience highly preferred.
High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.