Lead Specialist, Eligibility at PDS Health

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

The Lead Eligibility Specialist will be responsible with assisting Patient Benefit Supervisors by providing support with daily tasks and work collectively as a team with Eligibility Specialists. The Lead Eligibility Specialist will also perform and meet all the responsibilities of an Eligibility representative.

Responsibilities

• Will be responsible for training and complying with all duties assigned to the Eligibility Specialist role
• Maintain and ensure that insurance carrier standards are up to date
• Share updated information from insurance carriers in the form of quick reference guides
• Assist Patient Benefit Supervisors in the development and training of team members
• Provide end of day reports to Patient Benefit Supervisors on team progress
• Collaborate and share feedback with Patient Benefit Supervisors to increase team efficiency
• Be able to complete assigned tasks and other duties assigned from Patient Benefit Supervisors
• Act as a mentor, support, and assist in the development and training of team members
• Provide effective leadership, coaching and mentoring to identify and implement opportunities for improvement and to execute best practices
• Lead and participate in meetings and training sessions as required
• Ensures training and compliance modules are completed as needed for all team members
• Ensure compliance with company policies, as well as State, Federal, and HIPAA privacy
• Update and review productivity and quality metrics for possible action items on areas needing improvement to identify best practices
• Maintains an appropriate professional appearance and demeanor in accordance with Company standards
• Other duties as assigned

Qualifications

• Equivalent to High School Diploma or General Education Degree (GED)
• Associate Degree from an accredited college or technical school
• At least 1-3 years of related work experience
• Intermediate skills using Microsoft Office applications

Preferred

• Experience in Dental Field, knowledge of Dental Insurance

Knowledge/Skills/Abilities

• Strong abilities in managing the daily operations of department(s) or work unit while developing short to medium term (1-3 years) goals
• Strong ability to lead and motivate team members during change
• Fostering employee development by providing a supportive learning environment
• Highly developed teambuilding, influencing, and collaboration skills
• Knowledgeable in HIPAA/PHI rules and regulations
• Ability to direct the work of others and work as a team leader in attainment of goals
• Ability to interpret and apply policies and procedures
• Ability to handle and maintain extreme confidentiality with employee records, compensation information, etc.
• Ability to draw valid conclusions; apply sound judgment in making decisions and make decisions under pressure
• Strong written and verbal communication skills

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.