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Clearview Cancer Institute

Insurance Verification

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$46,160 / year median in Alabama

+16% projected growth

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Job Description

Insurance Verification Clearview Cancer Institute - 3.2 Huntsville, AL Job Details Full-time 14 hours ago Qualifications Health insurance authorizations Computer operation Customer communication HIPAA compliance Managed care Medical insurance coverage verification Health insurance policy knowledge Health insurance plan information HIPAA High school diploma or GED Healthcare referral management Insurance medical billing Health insurance referral requirements Clinical confidentiality policies Full Job Description Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
Job Purpose The purpose of the Insurance Benefits Representative is to verify eligibility, benefits, managed care, and maintain referrals on a monthly basis. Essential Job Functions Monthly verification of all insurance including managed care policies. Notify other departments of uninsured or under-insured patients. Resolve managed care issues such as authorization for services, billing, and claims payments. Understand and explain insurance benefits and issues as well as managed care coverage with patients. Other duties as assigned. Qualifications Must be able to work in a fast-paced, multi-tasking environment. Must be familiar with HIPAA and confidentiality laws. Must be able to prioritize and manage time efficiently. Must be able to communicate effectively both verbally and in written communications. Must be team-oriented. Must have knowledge of Excel, insurance benefits, coordination of benefits, and managed care referrals. Must have capability of verifying eligibility, benefits, and be familiar with various insurance company policies, terms, and conditions. Education/Experience Must have a high school diploma or equivalent. Must have at least (2) years experience in medical billing. Working Conditions This position works in clinical business office setting. This position requires the employee be able to use basic office equipment and multiple software systems in a team-oriented environment. This position has direct contact with patients. Physical Requirements This position requires the employee sit at a desk for much of the day, up to two-thirds of the day. This position also requires the employee be in front of a computer for at least two-thirds of the day. Direct reports This position is not a supervisory position.