Eligibility Specialist - Full Time - Germantown, TN
Core
Verify patient insurance benefits, resolve claim issues, and manage referrals to ensure accurate coverage and financial information for cancer patients.
Role type
Eligibility Specialist (Healthcare Administration)
Builds
Accurate patient eligibility records and referral workflows for West Cancer Center
Domain
Healthcare / Insurance Administration
Deliverable
dashboards & analysis
Required skills
Insurance verification, Claims resolution, Referral management, Data entry (10-key), EMR/PM systems proficiency, Financial screening processes
Preferred skills
Experience in medical insurance environments, Knowledge of healthcare billing processes
Responsibilities
Verify insurance benefits for new and existing patients, Enter and validate patient demographics and insurance in Practice Management and EMR systems, Contact physicians or patients to obtain referrals, Handle patient inquiries regarding coverage and benefits, Assist uninsured patients in connecting with financial support teams, Monitor group inbox tasks for eligibility and referral issues, Collaborate with Front Desk, Medical Records, and other internal teams
Seniority
Mid-level, hands-on IC