Eligibility Specialist
Ovation Healthcare
Date: 2 weeks ago
City: Brentwood, NY
Contract type: Full time
Welcome to Ovation Healthcare!
At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.
Eligibility Specialist I
An Insurance Eligibility Specialist's primary job function is to verify eligibility claim reason denials by locating and verifying patient insurance eligibility for primary, secondary and tertiary insurance for all payer types.
Duties & Responsibilities
At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.
Eligibility Specialist I
An Insurance Eligibility Specialist's primary job function is to verify eligibility claim reason denials by locating and verifying patient insurance eligibility for primary, secondary and tertiary insurance for all payer types.
Duties & Responsibilities
- Ability to identify various eligibility claim reason denials to proceed with resolution.
- Utilize different online forums such as payer portals and the clearinghouse to locate the correct insurance information for the patient.
- Update patient demographics with corrected information.
- Rebill claims to correct insurance carrier through the billing system.
- Problem solving skills to research and locate correct insurance information.
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