What are the responsibilities and job description for the Healthcare Eligibility & Revenue Cycle Specialist position at Preferred Home Health Care & Nursing Services?
Role: Eligibility Specialist
Key Responsibilities
Key Responsibilities
- Support healthcare programs by managing billing, insurance verification, authorization, and revenue cycle processes.
- Review applications, apply eligibility rules, and conduct data audits to ensure accuracy.
- Communicate policies effectively to clients and provide coaching to colleagues on eligibility practices.
- Handle inquiries with a strong focus on customer service.
- Proficiency with EDI and PBM concepts.
- Experience with healthcare data systems.
- Strong communication and customer service skills.