Insurance Eligibility Specialist - LA BUSINESS MANAGEMENT SERVICES, LLC

We are seeking an experienced Eligibility Specialist to join our team. As an Eligibility Specialist, you will play a crucial role in verifying insurance coverage and ensuring accurate eligibility determinations. This position requires strong knowledge of medical office procedures, coding, and insurance verification.

AUTHORIZATION AND SCHEDULING EXPERIENCE REQUIRED

Duties:

- Verify insurance coverage and eligibility for patients

- Review and interpret medical records and documentation

- Ensure accurate coding of diagnoses and procedures using ICD-9 and ICD-10 codes

- Collaborate with medical office staff to gather necessary information for eligibility determination

- Maintain confidentiality and adhere to HIPAA regulations when handling patient information

- Communicate with insurance companies to resolve any discrepancies or issues with coverage

- Assist patients in understanding their insurance benefits and coverage limitations

- Update patient records with accurate insurance information

- Provide support to the billing department as needed

Experience:

- Minimum of 2 years of experience as an Eligibility Specialist or similar role in a medical office setting

- Strong knowledge of medical office procedures, including insurance verification and managed care processes

- Proficiency in using ICD-9 and ICD-10 codes for accurate coding purposes

- Familiarity with office procedures 

- Excellent attention to detail and ability to maintain accuracy in a fast-paced environment

- Strong communication skills, both verbal and written, with the ability to effectively interact with patients, insurance companies, and medical staff

If you are a detail-oriented individual with experience in insurance verification and eligibility determination, we encourage you to apply for this position. We offer competitive compensation and benefits packages. Join our team and make a difference in the lives of our patients.