Neighborhood Healthcare

Neighborhood Healthcare

  • Escondido, CA
  • Permanent
  • Full-time
Community health has to do with more than simply vaccines and examinations. It’s about providing individuals the resources they require to live their finest lives. At Neighborhood, this is our vision. A neighborhood where everybody is healthy and delighted. We’re with you every action of the method, with the care you require for each of life’s chapters. At Neighborhood, we are Better Together.

As a personal, non-profit 501( C) (3) neighborhood health company, we serve over 350 k medical, oral, and behavioral health sees from more than 77 k individuals each year. We do this in pursuit of our objective to enhance the health and joy of the neighborhoods we serve by offering quality care to all, despite circumstance or situation.

We have actually been doing this considering that 1969 and it is our workers that make this objective a truth. Despite the function, our group concentrates on being thoughtful, having stability, being expert, constantly teaming up, and regularly exceeding and beyond. If that seems like a company you wish to belong of, we would like to have you.

Under the instructions of the Revenue Cycle Supervisor, the Billing Eligibility Specialist, is accountable for keeping day-to-day and regular monthly eligibility confirmation and documents for all clients with Neighborhood Healthcare. Accountable for group and insurance coverage updates. Validates insurance coverage eligibility. Functions with clients to deal with billing and insurance coverage associated concerns, PCP modifications, carries out batch and private eligibility confirmation making use of the Insurance Eligibility (IE) function in eCW. This position might have an alternative to work remote and is based upon service requirements.

ESSENTIAL DUTIES/RESPONSIBILITIES:

  • Complete insurance coverage confirmation 1-2 day prior and location electronic notes in eCW precisely and prompt.
  • Performs batch and specific eligibility confirmation using the Insurance Eligibility (IE) function in eCW
  • Submit electronic insurance coverage confirmation through eCW, insurance coverage site portals or call insurance provider to ask about eligibility, advantages info, and payment for services.
  • Maintain understanding of all contracted insurance coverages and programs accepted at Neighborhood Healthcare
  • Provide direct assistance to centers concerning eligibility queries
  • Ensure precise insurance coverage eligibility, advantages and monetary info required for billing and collection procedures.
  • Ability to finish a high volume of advantage confirmation demands
  • Perform PCP modifications by starting 3 -method calls with client and insurance coverage strategies
  • Inform clients if required of their advantages and monetary obligation.
  • Work carefully with websites, insurance coverage provider and clients.
  • Apply Sliding Fee Discount Program (SFDP) discount rates as needed. Guarantee Declaration of earnings documents has actually been recorded.
  • Provide customer support internally and externally with professionalism, courtesy, understanding, and follow through.
  • Function at greatest level according to eligibility proficiency
  • Meets day-to-day performance requirements
  • Maintain the privacy of client details in accordance with business policy & treatment, and HIPAA policies
  • Participate in different tasks and/ or conferences and total other job designated by management.
  • Other duties/projects as appointed

Requirements

Education: High School Diploma or comparable needed. An accreditation from a certified school or college with focus on medical front workplace abilities chosen.

Experience: Minimum of 2 years’ work experience in associated position needed. Medical Receptionist experience dealing with insurance coverage eligibility chosen. Need to have a basic understanding of medical workplace treatments and billing insurance coverage providers consisting of Medicare and Medicaid. Experience dealing with an electronic health record system needed; ideally ECW. Prospect should have exceptional interaction and organizational abilities Multiple specializeds and/or FQHC/community center environment experience a plus. A well-rounded understanding of insurance coverage eligibility procedures and protection standards for numerous providers.

Skills: Bilingual (English/Spanish) chosen. Attention to information and precision; inspired self-starter. Capability to work effectively in a hectic environment. Important thinking abilities to examine and solve intricate client account. Outstanding customer care abilities needed and capability to deal with tight spots.

Neighborhood Healthcare needs staff members to be completely immunized (consisting of a booster dosage) versus COVID-1 and show evidence of vaccination/booster upon hire or get approval for an exemption based upon a medical factor, impairment or religion. Evidence of booster dosage will rest upon booster eligibility.

Neighborhood Healthcare

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