Job Type Full-time Description Job Title: Eligibility Specialist Department: Patient Access Reports To: Eligibility Supervisor Job Grade: 2Summary of Responsibilities At UHS, Eligibility Specialists are responsible for communicating with insurers, employers and/or patients in order to ensure the accuracy of all claim data in an efficient manner that results an expeditious flow of work throughout the Patient Access area.
- Determine eligibility, maintain and complete data requirements for all claim records, demonstrating efficiency and the desire to produce results.
- Documentation of claim information through the use of multiple systems and online resources with a high level of accuracy.
- Troubleshoot and resolve claim records with missing or inadequate information by using analytical thinking skills.
- Establishes rapport and credibility with contacts by providing excellent customer service in a professional and respectful manner.
- Promptly handles escalated claims to ensure short turn-around times in other departments by understanding the bigger picture and valuing teamwork.
- Adheres to all HIPAA/state/federal guidelines for communication regarding patient health information (PHI).
Requirements Required Qualifications, Skills, Knowledge:
- High school diploma. College degree is not required, but some college preferred.
- Knowledge of Windows, Power Point, Word and Excel or similar programs required.
- Strong keyboarding skills - fast and accurate 50 WPM with a 97% accuracy
- Investigative, curious and problem-solving mindset with the ability to multi-task
- Mature, patient, and able to appropriately handle difficult situations
- Able to handle high workload volume timely and accurately
- Must have a cheerful, pleasant disposition and enthusiasm for the position
- Excellent data entry skills and an above average attention to detail
- Able to work independently. Must be reliable and a self-starter.
- Salary commensurate with experience
Salary Description 15.00