Eligibility Specialist presso Elizabeth Wende Breast Care LLC

Description

Medical Billing- Eligibility Specialist Job Description

The Company:

Since 1975, Elizabeth Wende Breast Center has been serving the greater Rochester, NY area with superior breast imaging technology and patient care. As the first dedicated breast clinic in the United States, EWBC is a committed leader in the field of breast imaging and breast cancer diagnosis.

Job Summary

Breast Imaging facility seeking a full time Medical Billing Eligibility Specialist to add to our experienced Billing Department. This position is responsible for accurately fulfilling the duties of the Billing Department, including: review of insurances for incoming patients, contacting insurance companies to resolve discrepancies of coverage, reviewing denials, collecting payments, and corresponding with insurance providers and patients. The position reports directly to the Billing Manager. Communication skills with coworkers and patients are vital to improve processes and maintain quality customer relations. Requires strong organizational skills, critical thinking, and the ability to produce, interpret and present detailed billing activity reports.

Essential Duties and Responsibilities:

• Works with Eligibility team verifying active insurance prior to appointment.
• Strong understanding of insurance and billing procedure guidelines when relaying information to patients regarding their responsibility.
• Comfortable with interdepartmental communication describing details of insurance updates and subsequent impact for patients. 
• Prepares reports for management to document recurring problems and identifies the source of patient reimbursement delays. Works closely with management to ensure effective communication and education of staff.

Daily as Assigned:

• Eligibility verifications
• Works in the Eligibility Dashboard to make sure all upcoming appts have accurate, up-to-date insurances on a 7-day revolving cycle. 
• Adds pertinent information regarding copays, co-insurances, and deductibles so that the FD/CC may relay the information to patients.
• Sends out Non-Par forms, No Surprise forms, and Self-pay forms to patients as applicable.
• Acts as liaison with Cancer Services Program to help patients find coverage for appointments.

• Payment collection
• Correspond with patients regarding patient statements and balances due.
• Create payment plans for patients when necessary and appropriate.
• Works closely with management to ensure effective communication and education of staff.

• Perform other job duties as assigned.

Skills and Qualifications

• CMC or CPC with experience in Radiology billing preferred.
• Excellent communication skills both written and verbal, and interpersonal skills.
• Ability to multi-task, use critical thinking, ability to prioritize tasks.
• Must be familiar with Excel/Office Suite.
• Ability to work alone on pre-determined tasks, or in pairs/group on a project. Must be flexible with tasks- no day is the same in a billing office.

Hourly rate: $18.00+

Competitive Benefit Package; Medical, Dental, Vision, Life, Disability, Retirement, PTO/Sick Pay

Please note that this job description is subject to change or modification at any time, with or without notice, at the discretion of Elizabeth Wende Breast Care, LLC