Job Title: Billing Representative- Benefits & Eligibility Specialist
Work Schedule:
Remote - Full-Time office hours are generally M-F, 8:00 AM to 5:00 PM, with overtime as needed.
Employment Classification: Non-exempt, Hourly
Status: Full-Time - Remote
Position Summary
The Benefits & Eligibility Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of his/her manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.
Summary of Duties and Responsibilities
- Verification of eligibility and benefits for new patients and specific follow-ups
Abilities, Knowledge and Skills
Effective communication skills to include:
- Ability to fluently speak and read English
- Ability to read and interpret documents such as safety rules, handbooks, policies and manuals
- Ability to communicate effectively, verbally and written, with all levels of staff and patients
Education, Prior Work Experience, Special Skill and Knowledge Requirements
High School Diploma
Medical Billing Office experience preferred
Basic computer skills
Knowledge of Availity and Navient preferred
Understanding of deductibles, copays, and coinsurance
Excellent customer service
Well organized with an ability to meet deadlines
Detail oriented
Strong verbal and written communication
Ability to multi-task and work in a fast-paced environment
Strong problem-solving skills
Excellent customer service
Excellent verbal and written communication
Well organized with an ability to meet deadlines
Ability to multi-task and work in a fast-paced environment
Strong analytical and problem-solving skills
Medical Terminology ICD-10
Self-driven with ability to work in a team environment
Knowledge of insurance carrier guidelines
Ability to read medical records, medical documentation and apply to claims being submitted to payers
Strong verbal and written communication skills
Physical Demands and Work Environment
Physical Demands
The physical demands described, here, are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands.
- While performing the duties of this job, the employee is required to use hands to handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear.
- The employee frequently is required to stand, walk, stoop, kneel, crouch, reach, push, pull, bend and sit. On average, billing staff may be sitting 80% of their shift.
- The employee must occasionally lift and/or move up to 30 pounds.
- Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
- Specific communication abilities required by this job include the ability to talk and hear in order to converse with others, discern, convey, express oneself, and exchange information.
Work Environment
The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job.
- The noise level in the work environment is usually moderate; lighting is in the standard range.
- The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases and conditions.
EEOC Compliance
Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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United States
