Eligibility Clerk

Description

Pain management practice  looking for a self motivated individual with good communication and organization skills, familiar with Medicare, Medi-Cal and commercial plan portals. 
Duties and Responsibilities:

• Coordinate and verify  patient's medical benefits
• Check eligibility on Medi-Cal, Availity, Medicare and all other health insurance portals. 
• Ensure servicing provider is in-network with patient's primary and secondary insurance 
• Ensure that if prior authorization is required by the insurance one is on file or obtained before services are render
• Answers patient inquiries and takes messages for follow up
• Participates in staff meetings and other meetings as instructed.
• Maintains confidentiality within the workplace and within the community.
• Handles protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Adheres to the Mission and Values of PCCC
• Performs other duties as required and assigned

Benefits Include

• PTO
• Holiday Pay
• Medical Insurance
• Dental
• Vision
• 401K
• Alfac

Requirements

• 1 year experience coordinating medical insurance benefits
• Excellent communication skills
• Attention to detail
• Good computer skills
• Ability to organize and prioritize tasks
• Ability to work under pressure and meet deadlines
• Ability to work independently and as a team