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.
Pre-Registration/Authorization Specialist Full-time Hanover, PA Work-life balance- Monday-Friday Only! No Nights or Weekends!
Mission and Vision:
Inspiring hope and healthy living by providing behavioral health and wellness services one person at a time.
Core Values:
Compassion, Empowerment, Integrity, Safety, Respect, Diversity, and Teamwork Benefits:
Medical Dental Vision 401K plan with company match Paid Holidays Paid time off Long /
Short Disability Life ADD Insurance Employee Assistance Program Job Duties:
Provide excellent customer service and build rapport with clients. Ability to set up electronic medical record for new clients. Scheduling new client appointments with correct providers, which includes verifying the provider is credentialed and can accept insurance plan. The ability to obtain, verify, and review accurate insurance benefit information with clients. The ability to ensure payment for services prior to the client services. Ability to be proactive and to prioritize work tasks. Ability to function effectively as a member of a team that may include multiple programs, locations, departments as well as external organizations and insurance companies. Understand how trauma affects an individual and know effective ways to respond to individuals who have experienced it. Ability to effectively communicate with clients. Check funding for all scheduled clients across all programs. Assist clients with transferring to a new provider when necessary. Contact clients when there are insurance issues or insurance lapses. Assist with client statements, payment plans, and sending final notices.
Job Qualifications/Requirements :
High School Diploma or GED. Ability to demonstrate proficiency in computer skills, Word, Excel, Outlook, and Internet. Prior experience with health insurance companies, medical record systems, medical billing and coding is preferred. The position requires three clearances (Pennsylvania ChildLine Clearance, PA State Police Clearance, and FBI Fingerprint Check) and Mandated Reporting training. TrueNorth Wellness Services has been providing our communities with behavioral health and wellness programs for more than 50 years and strives to create a safe environment of trusting relationships and a culture of hope and healing where all will thrive. TrueNorth Wellness Services is proud to be an equal opportunity employer - and celebrate our employees' differences, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or Veteran status. TrueNorth is also a trauma-informed organization, and all employees are expected to demonstrate behaviors which further that goal.
