Pediatric Associates

PRIMARY FUNCTION: Verify insurance eligibility for future patient appointments, document eligibility notes and perform patient outreach as needed, providing excellent customer service
ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)

Follow Pediatric Associates Eligibility Verification Quality Checklist to determine insurance eligibility

Review patient insurance for future appointments and identify eligibility requirements based on health plan

Use all available resources to determine insurance eligibility (e.g. system, web portals, phone)

Update patient insurance details accurately

Identify eligibility issues, communicate them to patients/parents and accurately document action taken

Complete all assigned appointments efficiently, within the expected timeframe

Communicate with office location via e-mail, Microsoft Teams and/or phone to coordinate patient callbacks for appointment rescheduling

Communicate effectively with supervisor, escalating issues as needed

Meet productivity standards as determined

Education: High School Diploma or equivalent.
Language: Must be proficient in English and Spanish
Location: Monterrey, N.L., Mexico
Experience: 1-2 years experience preferred. Must be detail-oriented and able to efficiently complete a high-volume of tasks using many sources. Excellent documentation skills required.
Typical Working Conditions: Working in a professional office environment. Clear and concise communication using e-mail and phone is necessary. Requires manual dexterity sufficient to operate a keyboard, type at 35 wpm, operate copier, and other office equipment as necessary.

Location: Pediatric Associates ยท Eligibility Verification Specialist
Schedule: Full Time, Days

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