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AB
Advanced Behavioral Health Services
Medical Insurance Specialist
Career Insights for Eligibility Specialist
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Based on Illinois data
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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.
$48,103 / year median in Illinois
+17% projected growth
Job Description
Medical Insurance Specialist Advanced Behavioral Health Services
- 3.0 Naperville, IL Job Details Full-time $19
- $24 an hour 9 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Flexible schedule Life insurance Retirement plan Qualifications Computer operation Health insurance co-pays Microsoft Outlook Insurance verification Phone communication Writing skills Medical office experience Word embeddings English Attention to detail Fax machines Problem-solving Computer skills Faxing Associate's degree Office phone management Time management Full Job Description Mental Health Office in Naperville is looking for an Insurance Specialist to join our team.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Verifying Insurance coverage- Confirming patients' insurance details, including eligibility, coverage limits, and any pre-authorization requirements for services. Pre-authorization and Pre-certification
- Obtaining approvals from insurance companies for specific procedures, treatments, or medications when required. Patient Communication
- Informing patients about their insurance benefits, out-of-pocket costs, and any potentials issues related to coverage. Updating records
- Maintaining accurate and up-to-date patient insurance information in the database. Coordinating with Providers and staff
- Collaborating with providers and administrative staff to ensure all required information is gathered for insurance processing. Resolving coverage issues
- Addressing and troubleshooting any discrepancies or denials related to insurance claims. Billing Support
- Assisting the billing department in ensuring claims are submitted accurately and following up on unpaid or denied claims.
BASIC QUALIFICATIONS
Proficiency in reading, writing, and communicating in English. Associates or Bachelor's degree level of education preferred. At least 2 years experience working in insurance verification department of medical offices. Excellent organizational and time management skills. Detail oriented and ability to work independently. Strong analytical and problem solving skills. Ability to operate a computer, learn new types of software and systems. Ability to use the telephone to place and receive calls, and use fax to send or receive documents. Proficiency with Word, Excel, Outlook required. Experience with various payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers. Understanding of co-pay, coinsurance, deductibles and other insurance benefits. Competitive compensation.Availability:
daytime and afternoons availability Position opening:Immediately Job Type:
Full-time Pay:
$19.00- $24.