Medicaid Eligibility Specialist Position Available In Davidson, Tennessee

Medicaid Eligibility Specialist DevCare Solutions Pvt., Ltd. Nashville, TN Job Details Contract $19 – $22 an hour 15 hours ago Benefits Dental insurance Vision insurance Qualifications ICD coding Social work HIPAA Patient service

ICD-9 ICD-10

Analysis skills Records management Medical records Pediatrics Acute care Medical terminology Entry level Full Job Description Overview The Eligibility Specialist plays a crucial role in the healthcare system by ensuring that patients meet the necessary criteria for services and benefits. This position involves reviewing patient information, verifying eligibility, and collaborating with healthcare providers to facilitate access to care. The ideal candidate will possess a strong understanding of medical terminology and coding, particularly ICD-10 and ICD-9, as well as experience in acute care settings. Responsibilities Review and analyze patient records to determine eligibility for services based on established criteria. Verify insurance coverage and benefits for patients through various systems and databases. Collaborate with healthcare providers, including hospitals and pediatric departments, to gather necessary documentation. Ensure compliance with HIPAA regulations while handling sensitive patient information. Assist patients in understanding their eligibility status and available services. Maintain accurate records of eligibility determinations and communicate findings effectively to relevant parties. Stay updated on changes in healthcare policies, regulations, and coding practices that may impact eligibility requirements. Skills Proficiency in ICD-10 and ICD-9 coding systems is essential. Strong understanding of medical terminology related to various specialties, including acute care and pediatrics. Excellent patient service skills with the ability to communicate effectively with diverse populations. Familiarity with medical records management and documentation processes. Knowledge of HIPAA regulations to ensure confidentiality and compliance in all interactions. Background or experience in social work is a plus but not mandatory. Strong analytical skills with attention to detail for accurate eligibility assessments. This role is ideal for individuals who are passionate about helping others navigate the complexities of healthcare eligibility while ensuring compliance with industry standards.

Job Type:

Contract Pay:

$19.00 – $22.00 per hour Expected hours: 37.5 per week

Benefits:

Dental insurance Vision insurance

Schedule:

8 hour shift Day shift Monday to Friday Willingness to travel: 25% (Preferred)

Work Location:

Remote