What are the responsibilities and job description for the Specialist, Eligibility position at PDS Health?
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The Eligibility Specialist (ES) is responsible for obtaining eligibility and benefit information on patients for our affiliated offices. The ES ensures that requests from the dental offices are completed in an efficient, accurate, and timely manner.
Responsibilities
$18.60-$24.40 / Hourly
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
The Eligibility Specialist (ES) is responsible for obtaining eligibility and benefit information on patients for our affiliated offices. The ES ensures that requests from the dental offices are completed in an efficient, accurate, and timely manner.
Responsibilities
- Call insurance carriers.
- Access insurance carrier and/or affiliated websites.
- Obtain eligibility and benefit breakdown.
- Enter eligibility and benefit breakdown information into a central database and/or other locations.
- Maintain performance.
- Report to Manager any issues, trends, and/or challenges associated with eligibility and/or benefit.
- Interact with fellow Eligibility and Benefits Team members in regards to best practices.
- Work from a queue of office inquiries regarding any issues and/or requests.
- Maintains an appropriate professional appearance and demeanor in accordance with Company policies.
- Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies.
- Participate in meetings as required.
- Bring forth ideas to improve processes and materials.
- Other duties as assigned by management.
- Equivalent to high school diploma or general education degree (GED).
- Experience in Dental Field, knowledge of Dental Insurance.
- Knowledge of general human relations topics and conflict resolution.
- Skills required include use of knowledge of WORD, EXCEL and QSI software applications, and use of standard office equipment.
- Ability to draw valid conclusions, apply sound judgment in making decisions, and to make decisions under pressure.
- Strong sense of personal responsibility for tasks assigned.
- Ability to work with others & accept direction.
- Strong commitment to educational advancement.
- Flexibility in adapting processes to meet unique needs.
- Ability to communicate effectively and present information, both verbally and in writing.
- Ability to function effectively in Excel, Word, PowerPoint.
- Organizational ability by demonstrating a systematic approach in carrying out assignments.
- Detail oriented, organized, process focused, problem solver, self motivated proactive, customer service focused.
- Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
- Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work.
- Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the department and corporation.
- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
$18.60-$24.40 / Hourly
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
Salary : $19 - $24
