• Eligibility Specialist

    Job Locations US-NC-Charlotte
    Department
    Eligibility - Nc
    Employment Type
    Regular Full-Time
  • Position Summary

     

    WESTMED Practice Partners is currently seeking a Eligibility Specialist to join the team. The ideal candidate will have experience in determining and processing medical eligibility for our patients.  Ensuring patient information and eligibility have been accurately verified and recorded in our Practice Management database.  A passion for providing exceptional customer service to all of our clients, internal and external is essential for consideration. WESTMED Practice Partners Eligibility Department is a centralized service, we serve as Subject Matter Experts for our internal customers providing information and assistance regarding difficult insurance inquiries. Bilingual skills preferred, (Spanish/English)

    Essential Job Functions & Responsibilities

    • Ensuring insurance verification is validated with the appropriate insurance carrier employing multiple methods such as electronic submissions to our clearinghouse, manual submissions processed through insurance websites, and/or by telephone.
    • Verifying medical coverage prior to scheduled appointments and ensuring that certain preventive and specialty benefits are thoroughly reviewed. 
    • Notifying our patients of any insurance issues and resolving prior to their scheduled appointment.
    • Completing assigned special projects as needed these can include but are not limited to research projects pertaining to insurance company benefit guidelines and requirements.

    Required Qualifications

    • Maintain a positive and encouraging behavior by adhering to the company’s Success Profile: Confidence, Integrity, Pride and Passion.
    • High School Diploma or equivalent, Associates Degree preferred
    • Strong interpersonal skills
    • Exceptional communication and customer service skills
    • Working knowledge of insurance verification and medical office procedures
    • Strong time management skills, the ability to plan, prioritize and complete delegated tasks within the expected time line
    • Microsoft Office Experience
    • Ability to adapt to changing workflows, processes and work queues
    • Ability to support team, departmental and organizational protocols, workflows, policies and procedures 

    Company Overview

    Here at WESTMED Practice Partners, one of the most successful management service organizations in the United States health care community, we look for individuals who are interested in and seek a challenging, growth-oriented, dynamic and friendly environment. Individuals with a strong work ethic along with a caring personality are who we find to be most successful here, fitting into our not so basic mantra of simply being “Smart" & “Nice". Our organization is constantly looking to bring on like-minded people who have a genuine interest in helping people and possess an intellectual curiosity to try and do things better and more efficiently. We strive to bring out the best in all of our team members and provide individuals with the support they need to achieve their career aspirations.

     

    WESTMED Practice Partners is a healthcare management services company that has evolved from the success of the WESTMED Medical Group, one of the largest multi-specialty medical groups in the country. In partnership with our clients, the mission of WESTMED Practice Partners is to improve the health of the communities we serve. We seek to grow the quality and efficiency of outpatient healthcare services by the design and management of free-standing, comprehensive medical offices with a focus on primary care. For more information, visit our web site at www.westmedpartners.com

     

    We provide a modern office environment, state-of-the-art equipment and technology as well as competitive benefits and salary. Our benefits include medical, dental, vision, life insurance, AD&D insurance, short-term and long-term disability, 401k matching, flexible spending plans, and more.

     

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