What are the responsibilities and job description for the Eligibility Specialist/CS Rep. position at Management Services?
A Path of Care Management Service of Norman, OK is looking to hire a full-time Eligibility Specialist / Customer Service Rep. Are you self-driven and highly organized? Do you want an opportunity to take your career in data entry to the next level? Would you like to join a home health care company that encourages growth and values its employees? If so, please read on!
This billing and insurance position earns a competitive wage. We also offer great benefits, including medical, dental, vision, a 401(k), paid time off (PTO), 6 holidays off, optional benefits with Allstate, life insurance, and flexibility. If this sounds like the right opportunity in home health care for you, apply today!
ABOUT A PATH OF CARE MANAGEMENT SERVICES
A Path of Care Management Services offers skilled care and support to our patients, so they can live safely and independently in their own homes. We work directly with doctors to develop individualized care plans that our nurses, therapists, and aids follow to ensure our patients receive the best care possible to heal. In every interaction with our customers, we strive to demonstrate CARE, which stands for our core values of credibility, accountability, responsiveness, and empathy. To gain the trust and confidence of our patients, we work hard to show our competence and assume personal responsibility for our actions. We recognize that lives may be dependent on our willingness and ability to respond quickly, which is why we strive to understand the special needs of our patients and bring sunshine to their lives.
Our high quality of care would not be possible without the exceptional team we have working for us. They work hard to uphold our values and ensure that each patient is taken care of according to their individual needs. To show our appreciation, we work hard to create a supportive and fulfilling environment that helps our employees grow professionally and create long-lasting careers they can take pride in.
A DAY IN THE LIFE OF AN ELIGIBILITY SPECIALIST / CUSTOMER SERVICE REP
As a billing and insurance specialist, you play an essential role in processing patient referrals, eligibility verifications, and insurance verifications as well as negotiating contracts. Working alongside the billing manager, you assist with researching patient benefits and authorizations. Using our HomeCare HomeBase software, you gather referral information and process all pending referrals as well as notify the CM or designee when a referral is ready to be processed. You verify all client referrals for eligibility from their proper payer and enter the information into HomeCare HomeBase.
In addition, you complete payer and insurance verification coordination notes, including all relevant billing and eligibility data. You also negotiate rates and terms of the contract with payer sources. When contacting the correct branch, you communicate the terms of the contract, authorizations, and any special requirements as well as conduct follow-up on pending clients and non-admits. You ensure that all client information is entered correctly and processed in a timely manner. When approval is needed for a referral, you promptly contact management and perform the necessary data entry.
You review all customer service coordination notes, billing notes, and administrative tasks as well as monitor payer changes for clients as needed. Other related billing functions you conduct include collections and verifying Medicare eligibilities for any episodes that are not billed. You are sometimes requested to attend training activities, maintain files for customer service and intake, and serve as a backup receptionist when staffing is low. Having a job that uses your exceptional data entry skills to keep the operations of our office running smoothly brings you great satisfaction, which is why you thrive in this position in home health care!
QUALIFICATIONS FOR AN ELIGIBILITY SPECIALIST / CUSTOMER SERVICE REP
- 1 years of experience working with insurance companies, including insurance verifications, authorizations, and contract negotiations
- Knowledge about home health care billing, including UB-04s and CMS-1500s
- Knowledge about ICD-10 and HCPCS/CPT coding
- Proficiency with data entry and Microsoft Office, including Word, Excel, and Outlook
- Strong computer skills, including the use of internet-based patient software
- Excellent customer service skills
Do you have excellent verbal and written communication skills? Can you balance multiple tasks while demonstrating good time management? Do you have a keen eye for detail? Are you an exceptional problem solver with strong analytical thinking skills? Can you handle confidential information with discretion? If so, you might just be perfect for this billing and insurance position using your data entry skills!
WORK SCHEDULE FOR AN ELIGIBILITY SPECIALIST / CUSTOMER SERVICE REP
This full-time data entry position in home health care works a typical schedule of 8 AM - 5 PM, Monday to Friday.
READY TO JOIN OUR HOME HEALTH CARE TEAM?
We understand your time is valuable, so we have a very quick and easy application process. If you feel that you would be right for this Eligibility Specialist / Customer Service Rep job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!
Location: 73069