Eligibility Coordinator

  • Full Time
  • Anywhere

Imperial Management Administrators Services

Handles internal and external inquiries regarding eligibility status, benefits, co-payments, co-insurance, deductibles, etc. thru internal system, plan website, designated portals and/or thru direct contact with the plans; Documenting inquires and responses in the system and making changes to member records per department policy and guideline.

ESSENTIAL JOB FUNCTIONS:

1. Handles phone calls professionally and courteously.

2. Documents member or provider calls in the system.

3. Utilizes available resources to verify and document co-payment, coinsurance and deductible amounts due at time of service.

4. Updates eligibility information – makes additions, changes, and terminations timely and accurately.

5. Advises management on issues and opportunities regarding workflows.

6. Fixes EDI errors of “Member Can’t Find”.

EDUCATION/EXPERIENCE:

·        High school graduate or equivalent.

·        Minimum 1 year of healthcare related experience

SKILLS/KNOWLEDGE/ABILITY:

·        Knowledge of Ez-Cap

To apply for this job please visit forms.office.com.