Out of State Billing Eligibility Specialist
Phoenix, AZ, USA
Req #2493
Wednesday, April 3, 2024
Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.
Role Summary:
Team members within Business Support Services team will cross train on many different tasks to ensure business needs are met. The Business Support Services team function as the front line of the company and will interact with clients daily. In some cases, Business Support may also be asked to support entry level tasks within other OOS division teams such as billing and collections and provider enrollment.
As a team, Business Support is staffed 7 days a week (on varying schedules) and may be asked to provide support on weekends and Holidays as needed (and determined by level of training). Daily job functions include patient eligibility verification for Hospitals and direct client contact.
Role Responsibilities:
- Verify patient eligibility, visit authorization requirements and timely filing periods.
- Support the Quarterly or Bi-Annual Retro Eligibility Project
- Review accounts for patient eligibility prior to account closure
- Routine Payor and Bill Book Updates
- Seeks opportunity to obtain additional information on Medicaid payors as relative to eligibility verifications (authorization requirements, ID formats and timely filing periods)
- Guide clients through Eligibility Submission Process
- Connect clients to appropriate OOS Medicaid contact, as needed.
- Special Projects requested by Billing or Enrollment teams to identify any trends or pressure points in the workflow.
Role Requirements:
- Minimum 3 years of administrative or customer service experiences
- Minimum 1 year of experience with insurance payors (Medicaid, Commercial, etc.)
- Minimum 1 year of patient eligibility verification experience.
- High School Diploma, Bachelor’s degree, preferred.
- Professional Demeanor: This is a client-facing role and requires that the associate represent Centauri.
- Fast learner who can pick up new concepts and detailed procedures.
- Strong customer service
- Willingness to ask questions and utilize available resources to resolve issues.
- Ability to work independently but also collaborate with a team, as needed.
We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.
Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.
Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
This position is bonus eligible in accordance with the terms of the Company’s plan.
Other details
- Pay Type Hourly
- Min Hiring Rate $18.20
- Max Hiring Rate $25.15
- Phoenix, AZ, USA