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Eligibility Specialist

American Eye Associates (CRA MSO LLC) · americaneyeassociates.com
Chula VistaOn-site
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The job in short

Verify patient insurance eligibility and copay information for appointments.

Insurance

Details

Found
40 d ago · posted 2025-03-05
Location
Chula Vista, CA, US

Full description

The Eligibility Specialist will verify all scheduled patient appointments to ensure all accuracy of eligibility and any co-payment information. Will collaborate with the leadership team to guide and support departmental needs. • Verify eligibility and benefits for all patients with appointments including the deductible and co-pay information prior to the appointment time. Make comments in each account in the Practice Management system. • Verify demographic information on new patients and any patients with changes. • Cover for front desk personnel, as needed. • Proactively troubleshoots to ensure accuracy of eligibility information and provides solutions to file issues; assists with determining extent and reason for discrepancies. • Researches and responds to eligibility file issues identified across the enterprise; works with the internal team to fix transactions that could not be processed via electronic file. • Reviews, reconciles, and analyzes enrollment and eligibility reports and compares data to validate eligibility in our system. • Monitors, reports, and tracks error trends to identify resolution initiatives. • Performs other responsibilities as assigned. • Inform and educate patients on eligibility benefits status, in person, or over the phone. • Pay attention to details. • Ability to work some weekend work, covering the Eligibility department.

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