Eligibility Coordinator

就业类型

Full-time, non-exempt

工作描述

Position Summary Davis Street is seeking an Eligibility Coordinator team member to provide patient intake, eligibility verification, appointment support, and insurance coordination. This position interacts with a variety of patients, insurance companies, clinical staff, and external partners to ensure patients are informed of their insurance coverage, co-pays, deductibles, sliding fee eligibility, and other financial responsibilities before services are provided. Full-time @ 37.5 Hours/week with excellent company paid benefits! Schedule: 星期一-星期五, 10:00AM - 6:00PM

职责

 

  • Perform patient intake, eligibility verification, and documentation for clinic and counseling services.
  • Explain insurance coverage, co-pays, deductibles, Sliding Fee eligibility, and other financial responsibilities to patients.
  • Complete all required verifications before appointments are scheduled and services are provided.
  • Check in patients and schedule or cancel appointments as needed.
  • Assist patients with enrollment in local, state, and federal programs.
  • Communicate with insurance companies and payer websites to verify eligibility, claims status, referrals, and authorizations.
  • Research and resolve eligibility denials, claim rejections, and payer-related issues.
  • Maintain accurate patient records, eligibility information, referrals, and authorization documentation.
  • Provide weekly intake and referral activity reports to the Claims Supervisor.
  • Communicate with patients, staff, providers, insurance companies, and external facilities to provide timely and accurate information.
  • Provide excellent customer service to patients and clinical staff regarding insurance coverage and eligibility questions.
  • Participate in outreach events, staff trainings, meetings, and other administrative support duties as assigned.
  • Maintain confidentiality in accordance with HIPAA.
  • Perform other duties as assigned.

要求

  • High school diploma required; college degree preferred.
  • Minimum of 1 year of related experience with insurance coverage, eligibility verification, medical billing guidelines, and payer website navigation.
  • Strong understanding of medical terminology.
  • Excellent customer service, communication, and interpersonal skills.
  • Ability to work with diverse populations in a culturally sensitive manner.
  • Detail-oriented, organized, and able to maintain accurate records in a fast-paced environment.
  • Strong problem-solving skills and ability to work independently and collaboratively.
  • Commitment to the mission and values of Davis Street.
  • Bilingual in Spanish preferred.

效益

Eligible

补偿

$26 - $27

地点

In-person, San Leandro
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