Schedule Eligibility Coordinator

Nova Medical Services

Posted 3 months ago

Full Time

Kendall, Florida

In Person

Smart Summary

Responsibilities

Verify patient insurance eligibility and coverage for wound care treatments while resolving coverage issues with providers and patients. Maintain accurate records of approvals and denials to ensure seamless billing and claims processing.

Qualifications

You have a high school diploma and at least one year of experience in insurance eligibility verification, preferably in a healthcare setting. You are proficient with electronic health record (EHR) systems and insurance verification tools, and possess strong organizational, communication, and interpersonal skills to manage multiple tasks in a fast-paced environment.

Must Have Skills for ATS

insurance eligibility verification

electronic health record (EHR) systems

insurance verification tools

Job Description

Overview
 

We are seeking an experienced Eligibility Coordinator to join our team. The ideal candidate will have a strong background in insurance eligibility verification and authorization processes, specifically within the state of Florida. Familiarity with Miami’s healthcare landscape and patient populations is essential.

Responsibilities

  • Verify patient eligibility, benefits, and coverage for wound care treatments with various insurance providers.
  • Communicate effectively with insurance companies, patients, and clinical staff to resolve coverage issues.
  • Maintain accurate records of insurance verifications, denials, and approvals in compliance with departmental protocols.
  • Stay up-to-date with insurance policies, regulations, and procedures, particularly those specific to Florida and Miami.
  • Provide support to patients and families regarding coverage questions and financial options.
  • Collaborate with billing and revenue cycle teams to prevent delays in claims submission or payment processing.

Qualifications:

  • High school diploma or equivalent
  • Minimum of 1 years of experience in insurance eligibility verification, preferably in dermatology care or related healthcare fields.
  • Strong organizational and time-management skills.
  • Proficiency in electronic health record (EHR) systems and insurance verification tools.
  • Exceptional communication and interpersonal skills.
  • Ability to work independently and handle multiple tasks in a fast-paced environment.

Preferred Skills:

  • Bilingual in English and Spanish to serve Miami’s diverse patient population.
  • Familiarity with Medicare, Medicaid, and managed care plans in Florida.
  • Previous experience in wound care or similar healthcare departments.

Benefits:

  • Competitive salary based on experience.
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Paid time off and professional development opportunities.

Join us in making a difference in our patients' lives by providing exceptional care coordination!

Job Types: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: No less than 40 per week

Schedule:

  • Monday to Friday

People with a criminal record are encouraged to apply

Work Location: In person

This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.  

No Third Party Agencies or Submissions Will Be Accepted.  

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP  

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

Nova Medical Services

In collaboration with hospitals, nursing homes, assisted living facilities, laboratories, and specialized physicians, our goal is to provide the best possible patient care and reduce hospitalization. Together, we focus on individualized plans of care, in which preventive medicine and patient care excellence becomes our top priority.
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