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!
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.
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 email@example.com
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records
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