Top 183 Eligibility specialist Jobs in Riverside, Ca

Eligibility Specialist
Community Health Systems, Inc. —Riverside, CA
- $23.00 - $29.39 an hour
- Full-time
- Customer service
- Writing skills
- High school diploma or GED
Eligibility Specialist II - Bilingual
County of Riverside —Moreno Valley, CA
- $24.73 - $33.68 an hour
- Background check
- Spanish
- Hospital
- Paid holidays
- Disability insurance
2d
Admissions Specialist
University of California, Riverside —Riverside, CA
- $64,050 - $112,140 a year
- Weekends as needed
- Background check
- Mid-level
- University
14d
Intake Specialist
PUBLIC SRVC LAW CORP OF RCBA —Riverside, CA
- $26 an hour
- Full-time
- Hybrid work
- Spanish
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
2d
Family Specialist I
Pacific Clinics —San Bernardino, CA
- $23.00 - $27.39 an hour
- Remote
- School experience
- Residential
- High school diploma or GED
- Health savings account
- Disability insurance
1d
Intake Specialist
Knowledge, Education For Your Success —San Bernardino, CA
- $20 - $23 an hour
- Full-time
- Hybrid work
- Spanish
- English
- Office
- AD&D insurance
- Paid holidays
Quick Apply
10d
Senior Compliance Specialist - LIHTC/HUD
Quality Management Group Inc —Ontario, CA
- $33 - $37 an hour
- Extended hours
- Microsoft Word
- Microsoft Outlook
- Customer service
Quick Apply
Financial Professional with Management Opportunity
New York Life Insurance Company —Corona, CA
- $51,000 - $175,000 a year
- Full-time
- Sales
- Mid-level
- Master's degree
- AD&D insurance
- Disability insurance
Quick Apply
Repair Intake Specialist - Redlands Jewelers
Redlands Jewelers —Redlands, CA
- $20 - $38 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Dietitian Specialist 1 (MC,BONUS)
Loma Linda University Health —Loma Linda, CA
- $35.28 - $47.45 an hour
- Full-time
- Spanish
- Writing skills
- Basic math
- Relocation assistance
Cost Specialist
Actalent —Ontario, CA
- $38 - $46 an hour
- Contract
- Mid-level
- Fair chance
- Commuter assistance
- Health savings account
Quick Apply
1d
Collection Account Specialist I
HealthQuest Esoterics —Irvine, CA
- $22 - $25 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Leasing Specialist
Harbor Group Management Company —Pomona, CA
- $21.00 - $23.50 an hour
- Weekends as needed
- Office
- High school diploma or GED
- Driver's License
- Commuter assistance
- Paid parental leave
Quick Apply
1d
HVAC Sales Expert (In-Home)
All Pro —Riverside, CA
- $100,000 - $225,000 a year
- Part-time
- English
- Mid-level
- Residential
- Paid training
- Fuel card
Quick Apply
20h
Underwriting Specialist OR Executive Underwriter - Large Contract Surety
Zurich Insurance Company Ltd. —California
- $75,000 - $165,000 a year
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Business development
Clinical Nurse Specialist Neonatal ICU
Riverside Community Hospital —Riverside, CA
- $50.61 - $75.92 an hour
- Part-time
- 5 years
- Bachelor of Science
- Ob/Gyn
- Employee stock purchase plan
- Disability insurance
Quick Apply
CCSB Eligibility Specialist I
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $35,288.33 - $45,874.31 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
1d
Student Disability Specialist
University of California, Riverside —Riverside, CA
- $66,500 - $124,215 a year
- Weekends as needed
- Experience working with individuals with disabilities
- Mid-level
- University
Member Acquisition Specialist - Riverside
Zócalo Health —Riverside, CA
- $26 - $28 an hour
- Weekends as needed
- Remote
- Spanish
- English
- Travel
- Health insurance
- Dental insurance
Quick Apply
Behavior Specialist II
Pacific Clinics —San Bernardino, CA
- $21.86 - $26.89 an hour
- Remote
- School experience
- Mid-level
- Residential
- Health savings account
- Disability insurance

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eligibility specialist jobs near riverside, ca

Eligibility Specialist

Community Health Systems, Inc. -
Riverside, CA

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Job Details

Full-time
$23.00 - $29.39 an hour

Qualifications

Customer communication
Customer service
Professional ethics
Writing skills
High school diploma or GED
Typing

Full Job Description

JOB SUMMARY:

The Eligibility Specialist has the responsibility for reviewing patients’ insurance to verify their eligibility for qualifying insurance coverage prior patient’s visit and updating the insurance information into patients’ profile. This position will assist the management team with oversight of both the patient eligibility and patient application processes by serving as a liaison between the client and other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Determine if re-authorization needed for new order
Verify insurance eligibility
Call insurance companies to ascertain pertinent information regarding policies and payment benefits for patient
Instruct patients on amounts covered under benefits plan in easy to understand terminology
Retain strong medical terminology understanding in effort to better comprehend procedures
Follow Specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information
Sign payment approvals accepted claims
Update all patient and insurance data regularly and carefully inputted changes into company’s computer system
Handle billing related activities focused on medical specialties
Examine claims, records and procedures to grant approval of coverage
Check documentation for appropriate coding, catching errors and making revisions
Verify that patient had proper insurance coverage prior to any procedures or appointment scheduling
Create and maintain accurate and confidential patient files according to regulatory mandates
Update patient financial information to promote accurate record keeping
Perform all other duties as directed either formally or informally, verbally or in writing

SUPERVISORY RESPONSIBILITIES:

No direct supervisory responsibilities

KNOWLEDGE, SKILLS AND ABILITIES:

Working knowledge of medical terminology.
Must be able to work independently while utilizing strong critical thinking/time management skills.
Must be able to type 45 words per minute.
Strong computer skills, with proficiency in Microsoft Office.
Must possess good “customer service” including verbal and written communication.
A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
Possess strong interpersonal skills and ability to work well with others.
Ability to deal effectively with changing situations and stressful environment.
Ability to perform tasks related to physical activity to complete the responsibilities of the position

EXPERIENCE AND EDUCATION:

High School graduate or equivalent
Associate’s Degree in a related field and/or Medical Billing Certificate from an accredited school preferred
Minimum 1 year of experience in medical billing, medical insurance and/or customer service

Apply Now

Refine Your Search

eligibility specialist jobs in riverside, ca

Eligibility Specialist

Eligibility Specialist II - Bilingual

Admissions Specialist

Intake Specialist

Family Specialist I

Intake Specialist

Senior Compliance Specialist - LIHTC/HUD

Financial Professional with Management Opportunity

Repair Intake Specialist - Redlands Jewelers

Dietitian Specialist 1 (MC,BONUS)

Cost Specialist

Collection Account Specialist I

Leasing Specialist

HVAC Sales Expert (In-Home)

Underwriting Specialist OR Executive Underwriter - Large Contract Surety

Clinical Nurse Specialist Neonatal ICU

CCSB Eligibility Specialist I

Student Disability Specialist

Member Acquisition Specialist - Riverside

Behavior Specialist II

I want to receive the latest job alert for eligibility specialist in riverside, ca

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