Find & Apply For Enrollment / Eligibility Specialist Jobs in Coral Springs, Florida

Job Description Help for Job Description. Opens a new window. United States Responsible for creation and processing of referrals from HCPs and other referral sources into CM database for order confirmations and shipment. Duties include validation of medical files and scanning them into customer accounts within the database along with verifying patients' insurance benefits by contacting insurance companies and documenting accounts accordingly. Major Areas of Accountability

• Process leads from external departments to complete the necessary documentation within CM database
• Organize and update customer records by reviewing and validating relevant information received about customers and loading it into the database.
• Complete inbound and outbound telephone calls in response to the referral as documented on the correspondence or HCP referral
• Responsible for the timely verification of medical insurance benefits for new and existing patients; existing customers with changes in insurance, and reactivated patients
• Note in each account a brief and clear summary of insurance information received from the insurance carrier.
• Review each medical record received for missing documentation; check physician's notes for appropriate diagnosis to justify Comfort Medical's service; verify that the correct person has signed all paperwork such as physician's orders, and other documentation requiring signature.
• Ensure the correction of deficient documentation, and documentation requiring signature are received, and filed in the required period.
• Ensure accuracy of components within the files and scanning into the system when applicable.
• Research and resolve issues regarding a customer's order; communicating with HCPs and insurance to gather relevant information and communicating the outcome to various stake holders where appropriate
• Complete and/or update all pertinent records in company database using Corporate Compliance Guidelines
• Establish and maintain effective knowledge of policies, procedures, and skills required to complete job duties
• Exceed Quality and Quantity Performance Standards
• Establish and maintain effective working relationships with customers and/or co-workers
• Skilled typing ability and knowledge of personal computers, hardware, software (ex. Microsoft Office Suite), and related applications and systems.
• Support the Department's Leadership Team in achieving departmental goals by completion of tasks, continued training, etc.
• Available and flexible in scheduling to meet the changing business requirements of the position (includes working nights and weekend)
• Responsible for following good housekeeping and quality procedures
• Follows and observes all safety practices
• Set a positive example for co-workers by observing and adhering to all Departmental and Corporate Policies and/or Procedures
• Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime.
• Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Other job duties as assigned