What are the responsibilities and job description for the Seasonal Eligibility Specialist position at Mobile Images Acquisition, LLC?
Job Title: Eligibility Specialist
Department: Billing
Reports to: Director, Billing and Client Su
FLSA Status: Non-exempt
Position Overview: The individual in this role is responsible for ensuring accurate eligibility verification for all
new and existing patients on a daily basis, with the ability to produce reports up to three times per day as time
permits. This role also includes precertifying exams as required by various insurance carriers, including
ECHOs or other procedures, on a daily or as-needed basis. Additional responsibilities may include assisting
with secondary and tertiary postings and claim collections, as well as contributing to filing or other
administrative functions related to payment practices.
Essential Functions
? Run eligibility reports for previous and current day patients in the Medi-Matrix system (or other
applicable systems.)
? Contact facilities or technicians to gather corrected or missing patient information.
? Communicate with facilities or patients regarding self-pay pricing and payments.
? Adapt effectively in a continuously growing and changing environment.
? Update new patient information from eligibility systems to ensure accurate billing.
? Update and/or add insurance information from technician paperwork or by contacting referral sources
daily. This may include loading RP’s, patient social security numbers, and updating Vitek as necessary.
? Perform updates for repeat patients at a minimum of every 30 days or at the start of the year, as
needed.
? Recertify Echocardiograms or other procedures requiring insurance approval at the time they are
scheduled.
? Monitor communication channels (i.e. Buzz) for incoming ECHO orders (per Echo Protocol) and verify
insurance as needed prior to exams for home health, hospice, or assisted living facilities (ALFs).
? Enter or update payer master information as needed and notify the Medical Billing Manager of any
changes.
? Respond to phone inquiries related to new orders, credit card payments, or invoice issues daily.
? Provide support to dispatch and billing staff as needed.
? Participate in educational activities and attend scheduled staff meetings.
? Maintain confidentiality and adhere to all HIPAA guidelines and regulations.
? Conduct work in accordance with Mobile Images Policy and Procedure Manual and Compliance
Manual, upholding company values and safeguards.
? Assist with special projects as assigned by the Medical Billing Manager and/or management.
? Support the Medical Billing Manager in training new employees as requested.
Skills and Experience
? Comprehensive knowledge of eligibility and precertification processes, preferably across multiple states
(AL, GA, SC, TN, and VA).
? Familiarity with medical billing practices.
? Proven ability to work independently and with minimal supervision.
? Flexibility and dependability in accommodating necessary shifts or schedule changes with proper
notice.
? Proficiency in computer operations and office equipment; advanced knowledge of Excel spreadsheets
required.
? Strong organizational skills with the ability to multitask, prioritize, and meet deadlines efficiently.
? Exceptional attention to detail and accuracy.
? Excellent verbal and written communication skills, with a clear understanding of instructions.
? Professional phone etiquette and a pleasant, helpful demeanor.
? Strong interpersonal skills to foster effective working relationships with patients, colleagues, and the
public.
? Highly organized, detail-oriented, and adept at managing multiple tasks.
? Proficiency in 10-key operation and ability to type at least 80 words per minute with accuracy.
Educational Requirements
? High school diploma or GED equivalent required.
Physical Demands
? Sitting and standing as required in a standard office environment.
? Manual dexterity for operating a calculator and computer keyboard.
? Occasional stooping, bending, or lifting may be required when filing or storing documents.
Work Environment
? The role operates in a standard office environment with the option to work remotely.
? Remote work requires a quiet, distraction-free home office with reliable high-speed internet.
? Occasional overtime may be required, and hours may be adjusted in response to business needs.
This role is expected to last approximately 90 days.
This job description provides an overview of the essential responsibilities and qualifications required for the
role. Responsibilities, skills, and working conditions may evolve to meet organizational needs.
Department: Billing
Reports to: Director, Billing and Client Su
FLSA Status: Non-exempt
Position Overview: The individual in this role is responsible for ensuring accurate eligibility verification for all
new and existing patients on a daily basis, with the ability to produce reports up to three times per day as time
permits. This role also includes precertifying exams as required by various insurance carriers, including
ECHOs or other procedures, on a daily or as-needed basis. Additional responsibilities may include assisting
with secondary and tertiary postings and claim collections, as well as contributing to filing or other
administrative functions related to payment practices.
Essential Functions
? Run eligibility reports for previous and current day patients in the Medi-Matrix system (or other
applicable systems.)
? Contact facilities or technicians to gather corrected or missing patient information.
? Communicate with facilities or patients regarding self-pay pricing and payments.
? Adapt effectively in a continuously growing and changing environment.
? Update new patient information from eligibility systems to ensure accurate billing.
? Update and/or add insurance information from technician paperwork or by contacting referral sources
daily. This may include loading RP’s, patient social security numbers, and updating Vitek as necessary.
? Perform updates for repeat patients at a minimum of every 30 days or at the start of the year, as
needed.
? Recertify Echocardiograms or other procedures requiring insurance approval at the time they are
scheduled.
? Monitor communication channels (i.e. Buzz) for incoming ECHO orders (per Echo Protocol) and verify
insurance as needed prior to exams for home health, hospice, or assisted living facilities (ALFs).
? Enter or update payer master information as needed and notify the Medical Billing Manager of any
changes.
? Respond to phone inquiries related to new orders, credit card payments, or invoice issues daily.
? Provide support to dispatch and billing staff as needed.
? Participate in educational activities and attend scheduled staff meetings.
? Maintain confidentiality and adhere to all HIPAA guidelines and regulations.
? Conduct work in accordance with Mobile Images Policy and Procedure Manual and Compliance
Manual, upholding company values and safeguards.
? Assist with special projects as assigned by the Medical Billing Manager and/or management.
? Support the Medical Billing Manager in training new employees as requested.
Skills and Experience
? Comprehensive knowledge of eligibility and precertification processes, preferably across multiple states
(AL, GA, SC, TN, and VA).
? Familiarity with medical billing practices.
? Proven ability to work independently and with minimal supervision.
? Flexibility and dependability in accommodating necessary shifts or schedule changes with proper
notice.
? Proficiency in computer operations and office equipment; advanced knowledge of Excel spreadsheets
required.
? Strong organizational skills with the ability to multitask, prioritize, and meet deadlines efficiently.
? Exceptional attention to detail and accuracy.
? Excellent verbal and written communication skills, with a clear understanding of instructions.
? Professional phone etiquette and a pleasant, helpful demeanor.
? Strong interpersonal skills to foster effective working relationships with patients, colleagues, and the
public.
? Highly organized, detail-oriented, and adept at managing multiple tasks.
? Proficiency in 10-key operation and ability to type at least 80 words per minute with accuracy.
Educational Requirements
? High school diploma or GED equivalent required.
Physical Demands
? Sitting and standing as required in a standard office environment.
? Manual dexterity for operating a calculator and computer keyboard.
? Occasional stooping, bending, or lifting may be required when filing or storing documents.
Work Environment
? The role operates in a standard office environment with the option to work remotely.
? Remote work requires a quiet, distraction-free home office with reliable high-speed internet.
? Occasional overtime may be required, and hours may be adjusted in response to business needs.
This role is expected to last approximately 90 days.
This job description provides an overview of the essential responsibilities and qualifications required for the
role. Responsibilities, skills, and working conditions may evolve to meet organizational needs.
Salary : $17