Eligibility & Collections Specialist
Eligibility & Collections Specialist
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Job Description
Do you have a passion for making a real difference in the lives of people living with mental health challenges and disabilities Easterseals PORT Health is seeking a dedicated Eligibility & Collections Specialist to join our Revenue Cycle team. In this vital role you will help drive access to care by ensuring clean claims accurate billing and thoughtful patient communication around financial responsibilities. At Easterseals PORT Health we believe in treating the whole person. That includes supporting individuals and families through the financial side of treatment with compassion accuracy and a solutions-focused mindset.
What Youll Do
Eligibility Support
- Verify insurance eligibility and benefits including deductibles co-pays and coinsurance
- Complete insurance verification for all newly admitted clients in Welligent
- Update and monitor patient insurance to support clean timely billing
- Review and resolve eligibility denials and rejections
- Collect Coordination of Benefits (COB) info and support Pro Bono/Charity Care documentation
Collections Support
- Audit and reconcile Self-Pay balances for accuracy
- Generate and send statement reports to program staff
- Communicate directly with patients via phone mail and email about outstanding balances
- Set up payment plans in line with company policy and post payments in the EHR system
- Create/manage patient portal accounts and respond to billing inquiries
Teamwork & Communication
- Raise issues and share updates with leadership to ensure smooth operations
- Collaborate on process improvements and internal reporting
- Support other claims/collections tasks as needed
What Were Looking For
- High School Diploma or GED required
- Minimum 2 years experience in:
- Medicaid Medicare Private Insurance and Managed Care (MCO)
- Medical and/or Behavioral Health Claims & Collections
- Strong knowledge of Explanation of Benefits (EOBs) co-pays coinsurance deductibles and denial codes
- Customer service and problem-solving expertise
- Proficient in Microsoft Word Excel Outlook
How Youll Benefit
Youll earn acompetitive hourly salary of $22 an hour based on experienceand join a growing team making a difference in our community.
Our benefits include:
- Paid time off and paid holidays
- Medical Dental and Vision Health Benefits an optional Flexible Health Spending Account (FSA)
- Life Insurance Disability Insurance and more
- 403(b) Retirement Plan
- Employee Assistance Program and Legal services when needed
- Lots of Merchant Discounts to improve your purchasing power!
If you seek a rewarding career opportunity where you can make a huge difference in the daily lives of the people you will help then please apply now at our website:
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy compassionate partner providing exceptional disability behavioral health and addiction treatment services to help our neighbors live their best lives. Our diverse and inclusive 2600-member team provides meaningful support to 40200 kids adults and families in 11000 home facility and community locations across North Carolina and Virginia.
Our working environment supports employee and client health with a no tobacco use policy (tobacco free and smoke free) in all offices client facilities properties and agency vehicles.
We believe that by leveraging the unique strengths and perspectives of our workforce we can advance our just cause while building a healthy sustainable organization. Thats why we listen seek to understand & act to make ESPH an Inclusive Diverse Equitable Authentic & Learning (IDEAL) organization.
Applicants of all abilities are encouraged to apply!
Required Experience:
Unclear Seniority
Employment Type
Full-Time
