Eligibility Specialist

Eligibility and Benefit Specialist is responsible for the timely verification of medical insurance benefits. Verifies insurance information in file is active and correct prior to patient appointments.

Responsibilities: 

• Uses online tools or calls private insurance companies, Medicare, and Medicaid to obtain benefit information. 
• Determines insurance compatibility with health-care provider. If provider is out of network, notifies ordering physician and patient. 
• Determines the estimate of patient financial responsibility according to deductibles, out of pocket, co-pay, and contracted fee schedules.
• Coordinates with patients regarding their insurance benefits. Makes courtesy call to patients priorto appointment to make patient aware of any deductible, out of pocket, or co-pay financial responsibility. Documents patient contact in eCW system.

Qualifications:

Equivalent to four years high school or GED, with particular emphasis during high school in office skills, shop skills, or others, plus 12 to 18 months of eligibility experience and/or training, or equivalent combination of education and experience. 

About Fayetteville Diagnostic Clinic  

Fayetteville Diagnostic Clinic is a physician-owned practice who encourages teamwork and collaboration, increasing efficiency in care, and ensuring patients receive a positive health care experience. To provide a convenient patient health experience, we offer internal medicine, medical specialists, and diagnostic services in one central location.

About MANA

Medical Associates of Northwest Arkansas (MANA) is an independent physician group that includes family medicine, pediatrics, women’s health and an array of specialists and advanced health services. MANA clinics are independent, physician-owned practices. As a physician-owned practice, our physicians can focus on compassionate, quality, patient care, and retain the quality, personal clinic environment. Physicians make decisions that shape excellent patient care in our practices. By working together, MANA physicians can responsibly manage the costs associated with health care, improve our practice efficiencies, and enhance overall care for patients. Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.

What We Offer

At MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits on the first day following 60 days of continuous employment. Below are some of our various benefit offerings:

• Comprehensive Benefits –
  • Medical & dental
  • 401(K) match and profit sharing
  • Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
  • Employer paid life, long-term & short-term disability benefits

• Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, and many more!
• One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics

Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• Uses online tools or calls private insurance companies, Medicare, and Medicaid to obtain benefit information. 
• Determines insurance compatibility with health-care provider. If provider is out of network, notifies ordering physician and patient. 
• Determines the estimate of patient financial responsibility according to deductibles, out of pocket, co-pay, and contracted fee schedules.
• Coordinates with patients regarding their insurance benefits. Makes courtesy call to patients priorto appointment to make patient aware of any deductible, out of pocket, or co-pay financial responsibility. Documents patient contact in eCW system.

Equivalent to four years high school or GED, with particular emphasis during high school in office skills, shop skills, or others, plus 12 to 18 months eligibility experience and/or training, or equivalent combination of education and experience.