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Eligibility and Authorization Coordinator
Job Description
Busy, local healthcare company in Bakersfield is looking for an Eligibility and Authorization Coordinator! This Eligibility and Authorization Coordinator will:
- Inquire on initial eligibility and and obtains authorization for services
- Performs monthly eligibility for ongoing authorization for extended services
- Enters authorizations and insurance billing data as required by Medicare, Medi-Cal and Insurance companies
- Receives all calls and email for authorization of services from field staff and case managers
- Posts and verifies entry of all discipline visits and related charges
- Communicates with the intake department and the staff for the authorization of services
- Assists in the preparation and interpretation of reports and correspondence
- Establishes and maintains relationships with patients, employees, payors and customers.
This is a long-term, full-time, temp to hire position in Bakersfield, CA! The hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. This company offers an excellent benefit package.
Requirements:
Minimum 4 years experience in billing in the medical, psychological or human services
Strong understanding and principles of Medicare, Medi-Cal, Insurance and private payer billing
Medical Terminology
Proficient data entry skills
Experience in HMO/PPO/Insurance authorization and eligibility procedures
ICD-9, ICD-10, DPT, and DSM-IV codes
Familiar with HCPCS codes
Medicare, Medi-Cal, Private insurance Electronic Data Interface methods
Compliance issues as they relate to HIPAA
High school graduate, 2 years college (preferred)
Valid California Driver’s License
Proof of valid automobile insurance
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Ready to take your career to new heights? Explore job opportunities in the vibrant area surrounding Bakersfield, California! Nestled in the heart of the Golden State, this region offers a blend of urban conveniences and natural wonders. From the stunning landscapes of Sequoia National Forest to the vibrant arts scene at the Bakersfield Museum of Art and the historic Fox Theater, there's something for everyone here. Indulge in the local delicacies like Basque cuisine, catch a game featuring the Bakersfield Condors hockey team, or take a stroll in the scenic River Walk park. Discover the unique charm and endless opportunities that await in the Bakersfield area!
