Eligibility Specialist

  • Location
    Mesa, Arizona
  • Category
    Medical Records
  • Job reference:
    US_EN_7_842406_2797442
  • Job Type
    Contract/Temporary

Ajilon Healthcare is currently interviewing for an Eligibility Specialist to join our client located in Mesa, AZ! This position is full-time, Monday – Friday position paying $15.00-$16.00 per hour depending on experience. The ideal candidate will have at least two (2) years of experience in eligibility, great communication skills and a positive attitude!

 

Responsibilities:

  • Verifies all admissions include the correct demographic and insurance information.
  • Verifies members eligibility and enters information necessary to complete accurate billing to appropriate funding source.
  • Meets with each individual and/or their family who is seeking services, and explains benefit information, assists in the completion of AHCCCS applications.
  • Verifies all benefit and co-pay information with commercial insurance companies.
  • Collects income verification when necessary, develops financial agreements based on available benefits, and provides patient/participants with resources to assist with payments when necessary.
  • Process Prior Authorization requests
  • Communicates authorizations and denials to management.
  • Processes reports, tracks outcomes, and keeps insurance records updated to provide limited claim rejections.
  •  

    Qualifications:

  • High school diploma or equivalent
  • Minimum of two (2) years working with Insurance Verification/Medicare/Medicaid
  • Experience working with Medical HER and obtaining insurance Authorizations.
  • Strong Microsoft Office skills
  •  

    If you meet the above requirements, apply online today at ajilon.com. For quicker consideration, send a copy of your resume to ashton.hallan@ajilon.com 



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