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Billing Eligibility Specialist

Company: Neighborhood Healthcare
Location: Escondido
Posted on: May 21, 2023

Job Description:

About UsCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.As a private, non-profit 501(C) (3) community health organization, we serve over 350k medical, dental, and behavioral health visits from more than 77k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.ROLE OVERVIEW and PURPOSEThe Billing Eligibility Specialist works to support the mission and vision of Neighborhood Healthcare (NHC) by assisting patients with insurance eligibility issues. This role will confirm and work with patients to resolve billing and insurance related issues. In addition, this role will manage the insurance verification and eligibility functions in eCW.RESPONSIBILITIESCompletes insurance verifications and places electronic notes in eCW accurately and timelyPerforms batch and individual eligibility verifications utilizing the Insurance Eligibility (IE) function in eCWSubmits electronic insurance verifications through eCW, insurance website portals, or calls insurance companies to inquire about eligibility, benefits information, and payment for servicesMaintains knowledge of all contracted insurances and programs accepted at NHCProvides direct support to clinics regarding eligibility inquiriesValidates insurance eligibility, benefits, and financial information required for billing and collection processesCompletes a high volume of benefit verification requestsInitiates three-way calls with patients and insurance carriers to perform primary care provider (PCP) changesInforms patients of their benefits and financial responsibilities, as neededApplies Sliding Fee Discount Program (SFDP) discounts to patient changes, as necessaryValidates declaration of income documentation is secured and validProvides thorough customer service internally and externally with professionalism, courtesy, and knowledgeParticipates in various projects and team meetingsEDUCATION/EXPERIENCEHigh school diploma/GED requiredOne year experience working with electronic health record systems/eCW is preferredTwo years' medical front office experience is preferredMedical Office Assistant certification is preferredBilingual (English/Spanish) as required by siteNeighborhood Healthcare requires employees to be fully vaccinated (including a booster dose) against COVID-19 and demonstrate proof of vaccination/booster upon hire or receive approval for an exemption based on a medical reason, disability or religious belief. Proof of booster dose will be contingent upon booster eligibility.Pay Range: $19.00 to $23.00 per hour, Depends on Experience (DOE)

Keywords: Neighborhood Healthcare, Escondido , Billing Eligibility Specialist, Accounting, Auditing , Escondido, California

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