
Medical Eligibility Specialist
6 days ago
- Position Overview: Medical Benefits Specialist
- About the Job:
We are currently searching for a highly skilled Medical Benefits Specialist to become a vital component of our team. As a core part of our support team, your main objectives will revolve around patient-centered care.
Your responsibilities will include verifying patient benefits ahead of appointments, addressing incoming calls concerning insurance coverage, conducting thorough research into patient eligibility with multiple insurance carriers, and functioning as an intermediary between patients, healthcare professionals, and insurance carriers.
This role requires effective collaboration with patients, healthcare professionals, and insurance carriers to identify and address challenges and complexities associated with accessing medical benefits.
Main Roles and Responsibilities:
- Confirm patients' eligibility for treatments
- Address customer service inquiries about insurance plans
- Delve into detailed analysis of patient qualifications and requirements
- Interact with customers and support teams to provide clear solutions
- Oversee coordination of applications and correspondence to resolve issues
Important Characteristics:
- Achieve high levels of responsiveness to patient queries and claims
- Uphold a calm and composed demeanor under pressure
- Systematically assess complex scenarios involving claim resolution
- Sympathetically address each customer's situation and concerns
- Maintain complete confidentiality
- Provide uncompromising assistance to colleagues
- Continuously strive for improved efficiency and productivity
- Take proactive steps to resolve disputes efficiently and fairly
Benefit Package:
- Attractive remuneration package
- Flexible vacation days
- Medical insurance options (compliance with organization rules)
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