What are the responsibilities and job description for the Eligibility Specialist position at LOWER LIGHTS CHRISTIAN HEALTH CENTER INC?
Job Details
Description
ABOUT LLCHC
Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! We served over 15,000 patients - with 40% being uninsured - and totaled 50,000 medical encounters!
Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.
SUMMARY:
- Develop, maintain, and utilize a strong working knowledge of important insurance eligibility requirements and other relevant trade tools
- Coordinate all patient data on a real-time basis, following all department procedures to accurately verify reported information, check references and records and ensure program guideline compliance
- Interact with team and current program users in a professional manner as well as convey appropriate and accurate information
- Perform continuous assessment of benefit recipients and continued eligibility concerns
ESSENTIAL JOB RESPONSIBILITIES:
- Utilize the MITS system & other payor websites to verify patient insurance
- Correct any insurance information in a patient’s file
- Verify with payors when there is a discrepancy in the information on file
- Verify insurance via phone and insurance portals for patients prior to their appointments
- Provide guidance to front office, billing and other staff regarding issues related to insurance eligibility.
BENEFITS AND PERKS
- Health benefits including medical, vision, dental, life, disability
- Generous Paid Time Off
- 10 Paid Holidays
- Student loan forgiveness opportunities
- Employee Assistance Program (EAP) with access to various consultants
- 3% match toward retirement fund
- And more!
LIVING OUR VALUES
You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.
Qualifications
- High School Diploma or GED.
- General knowledge of state and federally funded public benefits programs preferred.
- Understanding of different types of insurance (Medicaid, Medicare, Commercial, etc.)
- Computer experience, skill and typing ability sufficient to operate the EHR system.
- Skill and capability to function effectively and calmly in an unpredictable environment.
