Eligibility Consultant

Description: • Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. • Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations. • Handles physical documents and paper records to verify the eligibility of patients or members for healthcare services. • Reviews paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria. • Organizes paper-based eligibility documents by reading and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information. • Analyzes the paper-based information and documentation to determine the eligibility of patients or members for healthcare services. • Performs manual data entry tasks to input eligibility information into relevant systems or databases. • Ensures compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality. • Identifies opportunities to enhance the efficiency and accuracy of paper-based eligibility operations. • Follows regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and personal development. • Generates reports and analyzes data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making. Requirements: • Less than 1 year work experience • Working knowledge of problem solving and decision making skills • High school diploma or equivalent required Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs including wellness screenings, tobacco cessation, weight management programs, counseling and financial coaching • Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility Apply Job!