Eligibility Specialist

Verify eligibility and benefits for patients with appointments including the deductible, coinsurance and co-pay information prior to the appointment date and document in the appropriate systems. Manage escalations of complex eligibility issues, including calling insurance carriers to resolve issues and communicating directly with families as needed. Act as a liaison between patients, Care Coordinators, and insurance carriers to ensure all proper measures are taken and information is collected. Work with appropriate parties to cancel or reschedule patients based on insurance information, as needed. Update and validate insurance information in the practice management system.