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Patient Access Eligibility Specialist (Pre-Reg)

Company: CARTI
Location: Little Rock
Posted on: May 26, 2023

Job Description:

Description

JOB SUMMARY:

The Patient Access Eligibility Specialist II is responsible for investigating, validating, and updating patient registration records to accurately reflect guarantor and third-party payor information. Team member will function in daily operations as a member of the eligibility team. Daily functions include: reviewing account demographics and third-party payor information for accuracy, verifying insurance eligibility via online portals and phone calls, updating account information with a high degree of accuracy, working collaboratively with other Patient Advocacy team members when discrepancies are found to ensure they are addressed in a timely fashion and in the best interest of the patient. Team member must be very detail oriented and a professional at parsing and understanding eligibility response details and associated downstream implications. Team member must assist patients in a courteous and professional manner exemplified by CARTI values at all times. The Patient Access Eligibility Specialist II will be expected to always perform duties in a professional and courteous manner in collaboration with multiple stakeholders across the organization. This is a Level II position that requires a proven track record of performance in a lower position involving verification of benefits and associated coordination and escalation of downstream tasks based on findings. The team member must also be able to handle a higher assignment of cases without degradation of work quality and a firm and highly-actionable understanding of company and payor rules/specifics as applicable to CARTI service lines and patients.

Requirements

EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION:
1. High School Diploma or its equivalent

EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES:
1. Minimum of 4 years' experience working in a medical office or healthcare payor setting
2. 3 years of medical insurance verification experience required.
3. Exceptional customer service skills; ability to always remain professional and courteous
4. Knowledge of basic medical terminology
5. Basic computer skills
6. Ability to maintain confidentiality in daily operations
7. Ability to respond and resolve verbal and written inquires
8. Ability to identify problems and issues that may arise without direct supervision

Keywords: CARTI, Little Rock , Patient Access Eligibility Specialist (Pre-Reg), Other , Little Rock, Arkansas

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