Insurance Eligibility Specialist

At Hampton Roads Otolaryngology Assoc, we are seeking a skilled Insurance Eligibility Specialist to join our team. The successful candidate will be responsible for verifying insurance eligibility for scheduled appointments, ensuring timely access to care for our patients.
• This is a key role in our practice, requiring strong organizational and communication skills.

We offer a competitive salary and benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan with company match.
Job Description

As an Insurance Eligibility Specialist, you will:
• Verify insurance eligibility for scheduled appointments.
• Track and maintain insurance referrals to ensure continuity of care.
• Answer patient inquiries regarding their account balances.
• Process payments on behalf of patients.
• Verify benefits and coverage for services.
• Resolve billing inconsistencies and errors.
• Provide pricing to self-pay patients.
• Maintain confidentiality by adhering to all HIPAA guidelines/regulations.
• Other duties as assigned.

Requirements: • High School Diploma or equivalent. • Previous experience in medical billing/collections required. • Must possess knowledge of Explanation of Benefits (also known as EOBs, remittances, etc.) with an understanding of copays, coinsurance, deductibles, and denial codes. • Attention to detail and ability to work independently. • Proficient customer service skills. • The ability to multi-task in a high volume, fast-paced environment. • Working knowledge of MS Office.

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