Top 76 Eligibility specialist Jobs in Reno Nv

Referral Specialist
Renown Health —Reno, NV
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school
Specialist: Seasonal, Part-time
Apple —Reno, NV
- Part-time
- Entry level
- Employee stock purchase plan
- Health insurance
Accounts Receivable Specialist- Remote
UHS of Delaware, Inc. - Corporate Office - Remote —Reno, NV
- $19.14 - $28.72 an hour
- Full-time
- Remote
- Customer service
- Computer literacy
- Research
- Health insurance
- Dental insurance
Eligibility Specialist - Bilingual
Access To Healthcare Network —Reno, NV
- From $24.04 an hour
- Full-time
- Hybrid work
- Spanish
- HIPAA
- English
- 403(b) matching
- Paid parental leave
Quick Apply
6d
Inventory Control Specialist - Sparks, NV
CoreWeave —Sparks, NV
- $65,000 - $85,000 a year
- Full-time
- Mid-level
- Travel
- US work authorization
- Paid parental leave
- Health savings account
Quick Apply
8d
Equipment Specialist
United Site Services —Sparks, NV
- $16.58 - $22.38 an hour
- Full-time
- Customer service
- Forklift
- US work authorization
- Health savings account
- AD&D insurance
Fullfillment Specialist
Chewy —Reno, NV
- $19.00 - $24.50 an hour
- Full-time
- 18 years or older
- English
- Forklift
- Health savings account
- Paid holidays
9d
Fullfillment Specialist
Chewy —Sparks, NV
- $19.00 - $24.50 an hour
- Full-time
- 18 years or older
- English
- Forklift
- Health savings account
- Paid holidays
9d
Professional Taxi Driver
Capitol Cab Carson City —Carson City, NV
- From $65,000 a year
- Urgently hiring
- No experience needed
- Driver's License
- 21 years or older
- Health insurance
- Dental insurance
Quick Apply
3d
Fullfillment Specialist
Chewy —Mogul, NV
- $19.00 - $24.50 an hour
- Full-time
- 18 years or older
- English
- Forklift
- Health savings account
- Paid holidays
9d
Fullfillment Specialist
Chewy —Cold Springs, NV
- $19.00 - $24.50 an hour
- Full-time
- 18 years or older
- English
- Forklift
- Health savings account
- Paid holidays
9d
Patient Services Specialist
SimonMed Imaging —Reno, NV
- Part-time
- Background check
- High school diploma or GED
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
CORRECTIONAL CASE WORKER SPECIALIST TRAINEE
State of Nevada —Reno, NV
- Full-time
- Research
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
1d
Prior Authorization Specialist
Sugi Psychiatry —Reno, NV
- $20 - $25 an hour
- Full-time
- Microsoft Excel
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
5d
Site Infrastructure Specialist
Eaton —Reno, NV
- $84,000 - $123,000 a year
- On call
- Background check
- Microsoft Outlook
- Mid-level
- Retirement plan
Inventory Control Specialist
DSV —Sparks, NV
- $24 an hour
- Overtime
- Computer literacy
- Basic math
- English
- Flexible schedule
Safety Specialist
OnTrac —Reno, NV
- $67,200 - $100,800 a year
- Monday to Friday
- Spanish
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
Remote: Contract Specialist III
Planate Management Group —Carson City, NV
- $80,000 - $90,000 a year
- Full-time
- Remote
- 6 years
- Engineering
- English
- AD&D insurance
- Paid holidays
Quick Apply
Continuous Improvement Specialist (Day Shift)
PECNA Panasonic Energy Corporation of North America —Sparks, NV
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Addiction Medicine
- Health savings account
- Paid holidays
Transportation Specialist II
IGT —Reno, NV
- $20 - $24 an hour
- Overtime
- Mid-level
- Communication skills
- Commercial
- Disability insurance
- Health insurance
3d

I want to receive the latest job alert for eligibility specialist in reno nv

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

eligibility specialist jobs near reno nv

Prior Authorization Specialist jobs in Reno, NV

Safety Specialist jobs in Reno, NV

Taxi Driver jobs in Carson City, NV

Eligibility Specialist jobs in Reno, NV

Case Worker jobs in Reno, NV

Equipment Technician jobs in Sparks, NV

Referral Specialist jobs in Warner Robins, GA

Accounts Payable Specialist jobs in San Antonio, TX

Child Life Specialist jobs in Los Angeles, CA

Referral Specialist jobs in Buffalo, NY

Referral Specialist jobs in Altamonte Springs, FL

Referral Specialist jobs in League City, TX

Eligibility Specialist jobs in Indiana

Accounts Receivable Clerk jobs in Winston Salem, NC

Accounts Receivable Specialist jobs in Phoenix, AZ

Remote Medical Accounts Receivable Specialist jobs in Florida

Accounts Receivable Clerk jobs in Plainville, CT

Accounts Receivable Clerk jobs in Glen Burnie, MD

Data Entry Clerk jobs in North Carolina

Accounts Receivable Clerk jobs in Babylon, NY

Referral Specialist

Renown Health -
Reno, NV

Apply Now

Job Details

Full-time

Qualifications

Computer operation
Microsoft Excel
Microsoft Outlook
Computer literacy
Word embeddings
English
High school diploma or GED
Typing

Full Job Description

Position Purpose

This position’s primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically, verification of member eligibility, benefit coverage, coordination of benefits information, communication of the members’ plan benefits and/or exclusions to with physician offices and collection of pertinent clinical documentation. The Referral Specialist works closely with the Care Coordinators and Case Managers to provide appropriate utilization of resources, timeliness of treatment and quality of care.. The Referral Specialist provides patient communication, pre-registration, supports scheduling appointments, and payment collection as necessary. The Referral Specialist does not make medical necessity determinations.

Nature and Scope

This position requires the highest standards of courteousness, performance, diplomacy and confidentiality for patients. The incumbent will work in a fast-paced environment that uses several modes of communication, including telephones, email, fax and instant messaging to respond to authorization inquires and new requests. This position has contact with other departments and health care providers and will act as a liaison between Hometown Health, Renown, health care providers, & health insurance carriers..

This position will manage authorization requests.. The individual will gather, track and document all requests received by phone, fax, mail or electronically. This position will also manage oral and written communications related to the authorization, as appropriate. Additionally, this position is responsible for validating eligibility and benefit coverage to ensure the services requested are authorized as covered.

This position is responsible for keeping the department leadership informed of customer opinions and viewpoints for continuous work process improvement.

Knowledge, Skills & Abilities:

1. Have a working knowledge of insurance products, including by not limited to HMO, PPO, Self-funded and Medicare Advantage Plans.

2. Excellent written and verbal communication skills.

3. Ability to process large amounts of information.

4. Ability to work efficiently under stress and deadlines.

5. Knowledge of medical terminology.

6. Ability to assess a situation, consider alternatives and choose the appropriate course of action.

7. Ability to work in a fast paced environment with constant interruptions.

8. Manage multiple priorities and consistently meet department service and productivity goals.

9. Knowledge regarding ICD-10and CPT code diagnosis and procedures with a high level of accuracy.

10. Ability to organize and process work efficiently to ensure deadlines are met

11. Have knowledge of HIPAA and/or The Joint Commission standards

Under no circumstances shall Referral Specialist staff perform any activities related to the medical necessity review of the authorization management process other than:

Performance of review of service request for completeness of information

Collection and transfer of non-clinical data. Such data may include demographic information, employer name, insurance information, date of surgery, physician name, facility name, etc.

Acquisition of structured clinical data in the form of medical records requests

Activities that do not require evaluation or interpretation of clinical information

This position does not provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

High school graduation or GED. Must have a working-level knowledge of the English language, including reading, writing and speaking English.

Experience:

Requires at least one year of experience working in a medical office, hospital, health care billing or health insurance company.

License(s):

None

Certification(s):

None

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, Excel and Word and have the skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Location: Renown Health · 100635 Authorization and Referral
Schedule: Full Time - Eligible for Benefits, Day, 8:00am-5:00pm

Apply Now

Refine Your Search

eligibility specialist jobs in reno nv

Referral Specialist

Specialist: Seasonal, Part-time

Accounts Receivable Specialist- Remote

Eligibility Specialist - Bilingual

Inventory Control Specialist - Sparks, NV

Equipment Specialist

Fullfillment Specialist

Fullfillment Specialist

Professional Taxi Driver

Fullfillment Specialist

Fullfillment Specialist

Patient Services Specialist

CORRECTIONAL CASE WORKER SPECIALIST TRAINEE

Prior Authorization Specialist

Site Infrastructure Specialist

Inventory Control Specialist

Safety Specialist

Remote: Contract Specialist III

Continuous Improvement Specialist (Day Shift)

Transportation Specialist II

I want to receive the latest job alert for eligibility specialist in reno nv

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected