Job Summary We are seeking a detail-oriented and organized Eligibility Clerk to join our team. The ideal candidate will be responsible for verifying patient insurance benefits, obtaining authorizations when required, and ensuring accurate patient eligibility for services. Experience working with both PPO and HMO insurance plans is preferred. Duties Verify patient insurance eligibility and benefits prior to appointments. Review and confirm coverage for PPO and HMO plans. Obtain prior authorizations and referrals when required. Communicate with insurance carriers regarding coverage, benefits, and authorization status. Accurately document insurance information and authorization details in the patient management system. Follow up on pending authorizations and resolve eligibility issues promptly. Assist patients with insurance-related questions and benefit verification. Maintain compliance with insurance and healthcare regulations. Collaborate with front office staff, providers, and billing departments to ensure smooth patient care and claim processing. Bilingual skills are a plus for serving diverse populations effectively. Join our team as an Eligibility Specialist and be part of a passionate organization committed to improving access to quality healthcare! Your dedication will help bridge gaps in care delivery while supporting individuals on their path toward wellness through compassionate service and expert knowledge.

Expected hours:

No more than 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person