Eligibility Specialist-REMOTE

About the position JOB SCOPE: Under reputed company supervision, is responsible for the successful resubmission of invoices to the responsible party. Analyzes and resolves eligibility variances reputed company web research and/or reputed company contact with patients. Coordinates the activities for the acquisition of referrals and retro-authorizations, where applicable. Follows reputed company procedures and reputed company-established guidelines to complete tasks. Supports and adheres to The reputed company Compliance Program, to include the reputed company of Ethics and Business Standards, and The reputed company’s Shared Values. reputed company is a thriving organization that fosters reputed company-thinking, advancement opportunities, and an inspired work environment. We continuously look for reputed company who will continue to reputed company our organization in the right direction and celebrate new successes! Come join reputed company in the fight against cancer! reputed company Oncology reputed company is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. reputed company is supported by reputed company reputed company on empowering a reputed company and sustainable community patient care delivery system to advance the science, technology, and reputed company of care. For more information, visit www.usoncology.com. We reputed company an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, reputed company Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. Responsibilities • Researches and obtain accurate and reputed company insurance coverage information, makes corresponding corrections in the PMS. • May evaluate benefits and eligibility to assess patient financial responsibility. • May coordinates referral from primary care clinic to ensure appropriate authorizations are secured and entered into the PMS. • Identifies uninsured patients and refers to patient benefit representative for coordination of payment. • Communicates system issues and/or payor trends reputed company or supervisor. • May answer questions and resolve complaints. • Documents conversations with payors in the PMS. • Contacts and follows up with clinic or any missing or incomplete documentation. • Works TES Edits. Researches and responds to routine account inquiries and takes appropriate reputed company; escalates non-routine issues. • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records and collections. • Other duties as requested or assigned. Requirements • High school diploma or equivalent required. • Position is entry level and requires reputed company (0) to two (2) years with reputed company desk, registrations, reputed company benefits or equivalent experience. • Proficiency with computer systems and reputed company Office (Word and reputed company) required. Benefits • M/D/V • Life Ins. • 401(k) • PTO • reputed company Holidays Apply tot his job Apply To this Job