- Interviews clients or authorized representative to gather information while determining eligibility for benefits.
- Obtains, verifies, and calculates income and resources to determine client's financial eligibility.
- Assists patients in completion of program applications and other paperwork.
- Accurately inputs and updates data and/or coverages in the eligibility determination system and the hospital computer system when changes occur and cross trains in all areas of eligibility.
- Verifies, updates, and enter third party insurance plans into Eligibility and Hospital computer system.
- Obtains and scans all necessary demographic and financial information required to properly determine potential program eligibility.
- Maintains a minimal error rate and maintains productivity levels as determined by established standards and guidelines.
- Provides superior customer service and maintains a professional image.
- Attend staff meetings or other company sponsored or mandated meetings as required.
- Perform additional duties as assigned.
- High School Diploma or GED, required.
- 1 plus years of experience with Federal and State financial assistance programs and third party coverage.
- Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required.
- Position requires fluency in English and Spanish; written and oral communication, required.
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Specialist, Verification of Benefits
1 week ago
Mpower Healthcare San Antonio, United StatesOverview · About MPOWERHealth: · For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. ...
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Insurance Verification Specialist
3 days ago
SCP ENT & Allergy Services, LLC San Antonio, United StatesThe Insurance Verification Specialist is a dynamic role that includes support in administrative support and insurance verification. The individual in this role is primarily responsible for the timely verification of medical insurance benefits. The Insurance Verification Specialis ...
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Specialist, Verification of Benefits
1 week ago
MPOWERHealth San Antonio, United StatesAbout MPOWERHealth: · For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplif ...
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Insurance Verification Specialist
1 day ago
SENTA Partners San Antonio, United States· The Insurance Verification Specialist is a dynamic role that includes support in administrative support and insurance verification. The individual in this role is primarily responsible for the timely verification of medical insurance benefits. The Insurance Verification Specia ...
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Specialist, Verification of Benefits
1 week ago
MPOWERHealth San Antonio, United StatesOverview · About MPOWERHealth: · For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customer ...
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Insurance Verification Specialist
6 days ago
Snelling San Antonio, United StatesJob Description · Job DescriptionSnelling San Antonio has an immediate need for Insurance Verification Specialists $16/HR+ Depending on Experience to join a medical clinic . The Insurance Verification Specialist will be working to ensure that patients' healthcare benefits cover r ...
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Medicaid Verification Specialist
1 week ago
Emerus San Antonio, United StatesAbout Us · Emerus is the nation's first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus' leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Hea ...
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Medicaid Verification Specialist
1 week ago
Baptist Neighborhood Hospital San Antonio, United StatesAbout Us: · Emerus is the nations first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Hea ...
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Insurance Verification Specialist
6 days ago
Texas Home Medical, Inc. San Antonio, United StatesJob Description · Job Description** This is a full-time, in office position ** · Texas Home Medical is looking for a customer service representative to join our Dallas office. The ideal candidate has strong communication skills, is familiar with insurance verification, and is pas ...
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Physical Damage Specialist
1 week ago
USAA San Antonio, United States Full timeWhy USAA? · Let's do something that really matters. · At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to g ...
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Medical Office Specialist
6 days ago
PrideStaff San Antonio, United StatesMedical Front Office Specialist $15.75/hr. High volume practice looking for an experienced Medical Office Specialist. Will be responsible for all front desk duties including insurance verification, collecting of co-pays and referrals, as well as oth Stone, Medical, Specialist, Of ...
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Client Support Specialist
1 week ago
Sarma San Antonio, United StatesThis position performs various administrative functions for assigned professional collector and clients. The incumbent provides support in coordinating and securing itemized statements payments, bankruptcy verification, consumer disputes and all rela Support Specialist, Client Su ...
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Patient Service Representative
1 week ago
US Radiology Specialists San Antonio, United States Part timeAmerican Health Imaging is seeking an experienced, patient care-oriented professional on a part-time basis as a Patient Service Representative forour Westover Hills location in San Antonio, TX. · Work Schedule: Saturdays (8:00am - 5:00pm) · Duties & Responsibilities:Schedule Pat ...
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Patient Service Representative
5 days ago
US Radiology Specialists San Antonio, United StatesTouchstone Medical Imaging is seeking an experienced, patient care-oriented professional on a PRN basis as a Patient Service Representative forour Stone Oak location in San Antonio, TX. · 1Duties & Responsibilities:Schedule Patients for Diagnostic Exams and Procedures · Assist w ...
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Patient Service Representative
1 week ago
US Radiology Specialists San Antonio, United States Part timeAmerican Health Imaging is seeking an experienced, patient care-oriented professional on a part-time basis as a Patient Service Representative forour Westover Hills location in San Antonio, TX.Work Schedule: Saturdays (8:00am - 5:00pm) Duties & Responsibilities:Schedule Patients ...
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Credentialing Specialist
5 days ago
South Texas Renal Care Group San Antonio, United StatesSOUTH TEXAS RENAL CARE GROUP · 215 N San Saba Ste 206, San Antonio TX 78207 · Credentialing Specialist · Summary · Evaluates, analyzes, and coordinates all aspects of the credentialing and recredentialing processes for practitioners practicing within STRCG, and VASC clinical ent ...
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Credentialing Coordinator
2 weeks ago
ASPIRE Medical Staffing San Antonio, United StatesOverview: · Job description · Are you looking for a change, and to build on your skillset as a Credentialing Coordinator? · If your answer is yes, this opportunity is for YOU · Aspire Medical Staffing is in search of a dynamic Credentialing Coordinator to add to the team · S ...
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medical records specialist
1 week ago
HCA San Antonio, TX, United StatesIntroduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medical Records Specialist with Methodist Hospital Stone Oak you can be a part of an organization that is devoted to giving back · Benefits · Methodist Hospita ...
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Acc. Management/MCO
1 week ago
TEKsystems San Antonio, TX, United StatesDescription: · Account Management/ formerly MCO (Managed Care) Recertification Department: Billing/Collections Specialist · 1. Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to ensure accurate invoicing and prompt paymen ...
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Precertification/Eligibility Specialist
5 days ago
Urology San Antonio San Antonio, United StatesJOB SUMMARY · The Precertification and Eligibility Specialist is primarily responsible for obtaining pre-authorizations for high-cost services and therapeutics ordered by Urology San Antonio Providers. This position also serves as a safety net for ensuring insurance benefits for ...
Medicaid Verification Specialist - San Antonio, United States - Emerus
Description
Emerus is the nation's first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus' leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare. Our state-of-the-art hospitals are fully accredited and provide highly individualized care. From the moment a patient walks through the door, a team of exceptional medical professionals takes charge, treating patients with speed, compassion and expertise. Emerus' distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years. More information is available at .
The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. The Eligibility Specialist not only acts as an advocate for the patient, but also serves as a liaison to other Team members and to client hospital in a collaborative effort to facilitate eligibility coverage for incurred medical expenses.
Medicaid Verification Specialist professionals in San Antonio
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Jaime Contreras, MBA, CISM, CISA
IT Security Specialist