Eligibility Specialist

Job Description

REQUIREMENTS

• Demonstrated experience in a role requiring detailed medical record review and collection.
• Proficiency with electronic medical record (EMR) systems.
• Exceptional organizational skills and attention to detail.
• Strong communication skills, both written and verbal, for corresponding with patients, clinicians, external providers and colleagues
• Ability to manage and track multiple tasks simultaneously.
• Ability to work independently and collaboratively.
• Working Knowledge of HIPAA regulations
• Active Medical Assistant Certification
• At least 1 year experience in a primary care, endocrinology, or urgent care setting
• At least 1 year in a remote care setting or work from home environment (preferred)

RESPONSIBILITES

• Eligibility Review: This crucial function involves the detailed review of patient records, clinical documentation, and administrative data to accurately determine eligibility for Form.
• Record Collection: Manage all work related to requesting, faxing, and tracking medical records from external Primary Care Providers (PCPs) and specialists. Ensuring HIPAA and other confidentiality/privacy compliance during the record collection process. File
• Communication: Maintain professional and clear communication with patients and colleagues. Keep patients up to date throughout the eligibility process.

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