Find & Apply For Enrollment / Eligibility Specialist Jobs in Rome, Georgia

EDUCATION/EXPERIENCE

High School Diploma or GED required. RMA or CMA preferred due to specific responsibilities for lung programs. Computer experience required. Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred. Knowledge of medical records software preferred. Customer service experience required. LICENSURE, CERTIFICATION, and/or

REGISTRATION

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N/A ESSENTIAL FUNCTIONS

Completes referrals for patients and coordinates with referring and receiving practices and/or departments. Confirm patient eligibility for lung cancer screening through tobacco intake, completes screening orders and schedules screening. Coordinate and prepare financial estimates for patients. Obtains insurance authorizations as needed. Directs patients to providers in their insurance plan. Reviews benefits and educates patients on insurance coverage. Coordinates and schedules procedures, diagnostic testing, or other services within various departments with internal and ancillary providers Reviews, schedules, and confirms schedules are accurate and time is properly allocated. Follows up on all referrals to ensure no care gaps.

SKILLS/QUALIFICATIONS

Excellent oral and written communication skills Strong interpersonal skills

WORK ENVIRONMENT

Clean, well-lit, comfortable office setting

PHYSICAL REQUIREMENTS

Standing, Walking, Sitting, Bending, Reaching with arms. Finger and hand dexterity, Talking, Hearing, Seeing, Lifting, carrying, pushing and or pulling:

X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum