Demo

Eligibility Coordinator

Independent Living Systems
Miami, FL Full Time
POSTED ON 12/13/2024
AVAILABLE BEFORE 2/12/2025

About the Role:

As an Eligibility Coordinator you will play a crucial role in ensuring that members receive the care they need. You will be responsible for verifying member eligibility for various healthcare programs and services, and communicating with members and healthcare providers to resolve any issues. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. Your attention to detail and ability to navigate healthcare regulations will be essential in this role. Additionally, you will have the opportunity to work collaboratively with a team of healthcare professionals to improve member outcomes and experiences.

Minimum Qualifications:

  • High school diploma or equivalent
  • 2 years of experience in healthcare eligibility verification
  • Strong understanding of healthcare regulations and policies
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team

Preferred Qualifications:

  • Experience with electronic health records (EHR) systems
  • Bilingual in English and Spanish

Responsibilities:

  • Monitor member eligibility for healthcare programs and services
  • Communicate with members and healthcare providers to resolve eligibility issues
  • Maintain accurate and up-to-date records of member eligibility status
  • Stay up-to-date on healthcare regulations and policies
  • Collaborate with healthcare professionals to improve member experiences

Skills:

In this role, you will utilize your strong attention to detail and ability to navigate healthcare regulations to verify member eligibility for various healthcare programs and services. Your excellent communication and interpersonal skills will be essential in communicating with members and healthcare providers to resolve eligibility issues. Additionally, your ability to work independently and as part of a team will allow you to collaborate effectively with healthcare professionals to improve member experiences. Your experience with electronic health records (EHR) systems will be beneficial in this role.

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