<p>Summary</p> <p>Under the supervision of the Front Registration Manager, the Eligibility Specialist will be responsible for eligibility verification for all BACHC patient services.</p> <p>Essential Functions:</p> <ul> <li>Promotes and believes in BACHC mission statement "Helping People Heal". </li><li>Believes and aligns with BACHC core Values of Compassion, Respect, Integrity, Accountability and Teamwork. </li><li>Treats everyone equally regardless of racial, ethnic, religious, social, and economic status or background. </li><li>Retrieve verification of all patient insurance coverage; primary, secondary, and tertiary. </li><li>Contact insurance companies via phone or online to verify eligibility. </li><li>Log on to external payer portals to verify Medi-cal, Medicare, and Commercial coverages. </li><li>Identify correct/contracted IPA information is assigned under patients' health coverage. </li><li>Ensures Payor ID is correctly entered in the guarantors and coverages section in patient chart. </li><li>Activate new coverages when applicable; inactivate coverages that have termed. </li><li>Identifies and updates Payor ID errors to reduce delays in payment/denials of claims. </li><li>Responsible for the input of insurance verification notes in the Electronic Health Record (EHR) system. </li><li>Call patients prior to appointment to inform and relay changes to insurance as they occur. </li><li>Conduct eligibility and verification of benefits for all scheduled patients prior to appointments. </li><li>Provide excellent customer service to internal and external clients/patients by being responsive to all inquiries in a timely manner. </li><li>Performs job duties collaboratively with health center management and exercises good judgement. </li><li>Fosters and promotes a culture of service excellence and accountability with a focus on patient safety. </li><li>Consistently adheres to a high standard of professional ethics; conducts self in an ethical manner and is a role model to others. </li><li>Attending all staff meetings and assigned training. </li><li>Perform other related duties as assigned. </li></ul> <p>Skills / Competencies</p> <ol> <li> <p>Customer Service</p> </li><li> <p>Attention to Detail</p> </li><li> <p>Thoroughness</p> </li><li> <p>Organizational Skills</p> </li><li> <p>Communication</p> </li></ol> <p>Physical Demands</p> <p>This is mostly a sedentary role. The ability to sit at a workstation and perform data entry for extended periods of time may be required.</p> <p>Position Type and Expected Hours of Work</p> <p>This is a Part-time position. Days and hours of work are Monday through Friday 8:00am-5:00pm. Work hours will be 24 hours weekly within clinic hours with occasional pre-approved overtime.</p> <p>Travel</p> <p>On occasion travel will be required.</p> <p>Education and Experience</p> <ul> <li>High school graduate, GED, or equivalent required </li><li>Microsoft Office (Word, Excel, Outlook) </li><li>Previous Customer Service experience </li><li>Must have working knowledge of multiple insurance practices. </li><li>Must have working knowledge of insurance/billing policies and procedures. </li></ul> <p>Other Duties</p> <p>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice to fit the needs of this position and BACHC.</p> <p>BACHC is an At Will and EEO employer.</p> <p>Job Type: Part-time</p> <p>Pay: $18.00 - $24.00 per hour</p> <p>Expected hours: 24 per week</p> <p>Benefits:</p> <ul> <li>401(k) </li><li>401(k) matching </li><li>403(b) </li><li>Employee assistance program </li><li>Flexible spending account </li><li>Paid time off </li><li>Retirement plan </li></ul> <p>Schedule:</p> <ul> <li>8 hour shift </li></ul> <p>Work Location: In person</p>