Patient Eligibility Specialist
1 day ago
The Patient Authorization Coordinator plays a vital role in facilitating interactions with various stakeholders, including clinical sales specialists, physicians, nurses, and case managers. This position is responsible for ensuring the ongoing verification and eligibility of patients at a corporate office.
Key Responsibilities- Verify patient authorization status by entering dates and tasks into QS1 and/or Brightree system in a timely manner.
- Obtain clinical data from patient's Endocrinologist or physician's office as necessary for re-authorization purposes.
- Submit requests for re-authorization to insurance companies.
- Follow up on re-authorization requests promptly.
- Document all relevant information on case management authorization forms and in Brightree and QS1 systems.
- Create tasks in Brightree for future authorizations.
- Adhere to formulary guidelines and follow established protocols.
- Request interim supplies as needed.
- Strong verbal and written communication skills are essential for success in this role.
- Must be knowledgeable in basic office operations and able to perform multiple tasks simultaneously.
- Ability to work under pressure and prioritize tasks effectively.
- Represent the organization in a professional manner at all times.
- Maintain HIPAA compliance in accordance with organizational policies and understand obligations under the Privacy Rule.
- Ability to perform essential duties without posing a direct threat to health or safety.
- Education/Experience:
- High School graduate or equivalent is required.
- Prior experience in a similar position is preferred but not necessary.
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Eligibility and Verifications Specialist
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Cebu City, Central Visayas, Philippines CallTek Full timeOverviewSummary: An Eligibility and Verifications Specialist's main responsibilities include verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline...
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Eligibility and Verifications Specialist
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Cebu City, Central Visayas, Philippines Staff4Me Full timeSummary:An Eligibility and Verifications Specialist's main responsibility is verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline administrative processes, and...
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Patient Scheduling Specialist
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Patient Authorization Coordinator
1 week ago
Angeles City, Central Luzon, Philippines SuperStaff Full timeThe Patient Authorization Coordinator is the employee that interacts and works closely with many others employees. This person also interacts with the clinical sales specialists, physicians, nurses, office staff, case managers for all manufacturers, and the patient/patient family. This position is at the corporate office. The Patient Authorization...
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Patient Authorization Coordinator
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Cebu City, Central Visayas, Philippines beBeeVerification Full time ₱500,000 - ₱800,000Job OpportunityOur organization seeks an individual to assume the role of Eligibility and Verifications Specialist. The selected candidate will be responsible for verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans.
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Angeles City, Central Luzon, Philippines beBeeClaims Full time $50,000 - $75,000Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to join our team. In this role, you will be responsible for managing all aspects of insurance billing and processing including claim review and correction, claim submission, processing and posting of payments, researching claim rejections, aged claims, and submitting...
