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Whittier

    Eligibility Specialist FT Days - Whittier, United States - PIH Health

    PIH Health background
    Description


    The primary responsibility of this position is to facilitate the treatment authorization process for managed care patients (Medicare, HMO and PPO).

    In addition, this team member provides support to the front desk registration clerk personnel.

    Performs clerical duties as required by PIH Health Breast Center Whittier to meet the needs of the patient and facilitating the delivery of care.

    PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region.

    The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, womens health, urgent care and emergency services.

    The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.

    For more information, visit or follow us on Facebook, Twitter, or Instagram.

    Required SkillsExcellent organizational, written and verbal communications and strong interpersonal skillsCommunicate effectively with staff, patients, guarantors, insurance companies, and physicians.

    Demonstrates attention to detailGood English speaking, spelling, reading and mathematical skills requiredMust possess excellent telephone etiquette, and customer service skills.

    Proficient computer skills and knowledge in Word, Excel, Outlook and ability to maneuver through multiple screens in a timely mannerAbility to sort & file material correctly by alphabetic or numeric systems; computer data entry skills; ability to work effectively in fast-paced situations & tight deadlinesAbility to stay on task in a fast and high pressured environmentStrict adherence to all HIPAA lawsStrong commitment to customer service with demonstrated ability to create a positive patient experienceDemonstrates the ability to work well independently as well as part of a teamUnderstanding of guidelines for commercial, senior, and Medi-Cal requirements to expedite the treatment authorization processAbility to develop effective working relationships with all levels of the organization, physician offices and health plansRequired ExperienceRequired:High School diploma or equivalentOne-year experience performing hospital or medical group related insurance verification or receptionist experience in a hospital/medical office outpatient setting

    Preferred:
    Prior experience working in a breast imaging facilityMedical terminology knowledgeMedical insurance knowledgeBilingual skills (English/Spanish)

    Qualifications:
    Excellent organizational, written and verbal communications and strong interpersonal skillsCommunicate effectively with staff, patients, guarantors, insurance companies, and physicians.

    Demonstrates attention to detailGood English speaking, spelling, reading and mathematical skills requiredMust possess excellent telephone etiquette, and customer service skills.

    Proficient computer skills and knowledge in Word, Excel, Outlook and ability to maneuver through multiple screens in a timely mannerAbility to sort & file material correctly by alphabetic or numeric systems; computer data entry skills; ability to work effectively in fast-paced situations & tight deadlinesAbility to stay on task in a fast and high pressured environmentStrict adherence to all HIPAA lawsStrong commitment to customer service with demonstrated ability to create a positive patient experienceDemonstrates the ability to work well independently as well as part of a teamUnderstanding of guidelines for commercial, senior, and Medi-Cal requirements to expedite the treatment authorization processAbility to develop effective working relationships with all levels of the organization, physician offices and health plans


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