Busy, local healthcare company in Bakersfield is looking for an
Eligibility and Authorization Coordinator! This
Eligibility and Authorization Coordinator will:
- Inquire on initial eligibility and and obtains authorization for services
- Performs monthly eligibility for ongoing authorization for extended services
- Enters authorizations and insurance billing data as required by Medicare, Medi-Cal and Insurance companies
- Receives all calls and emails for authorization of services from field staff and case managers
- Posts and verifies entry of all discipline visits and related charges
- Communicates with the intake department and the staff for the authorization of services
- Establishes and maintains relationships with patients, employees, payors and customers
This is a long-term, full-time, temp to hire position in Bakersfield, CA! The hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. This company offers an excellent benefit package. Requirements:Minimum 3 years experience in billing in the medical, psychological or human services field
Strong understanding and principles of Medicare, Medi-Cal, Insurance and private payer billing
Medical Terminology
Proficient data entry skills
Experience in HMO/PPO/Insurance authorization and eligibility procedures
ICD-9, ICD-10, DPT, and DSM-IV codes
Familiar with HCPCS codes
Ability to navigate insurance payor portals
Compliance issues as they relate to HIPAA
High school graduate
Valid California Drivers License
Proof of valid automobile insurance