Medical Eligibility Specialist

Robert Half • Long Beach, CA • 4h ago

Description

A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance.

Responsibilities:

Conduct financial screenings for incoming clients to determine eligibility and financial liability.

Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.

Maintain and update client financial records in electronic health record systems.

Organize and track annual re-evaluations of client financial information.

Follow up with clinical staff to ensure completion of required documentation for financial folders.

Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.

Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).

Audit financial folders upon client discharge to ensure compliance and accuracy.

Requirements - Minimum of one year of experience in financial screening or related roles, such as Medi-Cal eligibility verification.

Familiarity with insurance eligibility processes and Medicaid programs.

Strong organizational, time management, and problem-solving skills.

Intermediate to advanced proficiency in Microsoft Office Suite and other relevant software.

Ability to maintain confidentiality and handle sensitive information with discretion.

Excellent verbal and written communication skills in English.

Previous experience with Department of Mental Health financial screening processes is preferred.

Commitment to delivering high-quality customer service and building positive relationships. TalentMatch®

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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