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Hollis Cobb Associates, Inc. is a fast-growing, national-based medical receivables management company seeking individuals with strong organizational skills, and proven background working in a high-paced environment to join our team. We are a privately owned company that has been in business for over 40 years and not only offers a great work environment but also competitive pay and benefits. Join the growing Hollis Cobb Team!
As we continue to experience tremendous growth as the recognized leader in the accounts receivable industry we are currently looking for experienced Benefits and Eligibility Representatives. We offer a great work environment, our management staff is dedicated to maintaining a direct relationship with you, great hourly pay rates, and competitive benefits.
About this Position:
Contacts insurance companies and other third-party payers to determine pre-authorization requirements for basic and moderately complex outpatient hospital services.
Calls insurance companies or uses online tools to obtain pre-authorization and/or referral prior to service date. Follows-up timely and thoroughly.
Ensures all pre-authorization issues are communicated in a timely manner.
Liaisons with physician’s staff to obtain additional insurance and/or clinical information.
Confirms eligibility, coverage, and benefits with insurance companies. Determines financial responsibility for service.
Reviews patients’ charts for clinical justifying medical necessity for the service.
Follows up properly on all denials and peer-to-peer requests.
Researches and assists with denied pre-authorization or pre-determinations.
Documents appropriately regarding all actions, authorization, referral details, and referral modifications for specialty care and testing for patients with insurance plans requiring formal referral documentation.
Qualifications:
Formidable knowledge of copay’s, deductibles, co-insurance for In-network & out-of-network medical benefits.
Able to prioritize, work accurately, work well independently, and able to maintain focus under pressure.
Working knowledge of medical terminology, insurance packages/plans, and proficiency with EMR.
Strong knowledge of government payers. Claim status follow-up is a plus.
Clearly communicate with providers, insurance companies, staff, and patients.
Excellent verbal and written communication skills.
Excellent organizational skills, Multi-tasking capabilities, and detail orientated.
Customer Services skills with heavy phone contact and client interface.
Basic Computer/PC and Internet skills.
Working with MS office products/ Excel and Word.
Attention to detail and problem-solving skills.
Must be a great team player and passionate about working.
Job Type: Full-time.
Benefits:
401(k) matching.
Dental insurance.
Health insurance.
Paid time off.
Vision insurance.
