Eligibility and Insurance Specialist

Full Time
Remote, TN 37027
Posted
Job description

With the footprint of IVX Health continuing to expand, we are seeking an Eligibility and Insurance Specialist (EIS) to support our continued growth!
ABOUT US
IVX Health is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other complex chronic conditions. IVX offers a different, better approach to caring for our patients and believes it is vital to take the same approach with our employees. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.
ABOUT THE ROLE
This Eligibility and Insurance Specialist is responsible for ensuring financial clearance is confirmed and maintained prior to patient treatment, as well as supporting the patient and local centers with additional administrative tasks related to insurance and procurement. This role will work closely with various departments to prevent any delays or financial risk to patient encounters. The Eligibility and Insurance Specialist is an integral part of the day-to-day operations at IVX Health. Ideal candidates must be able to multi-task in a fast-paced health care environment, possess effective communication, interpersonal skills, and analytical skills, and most importantly, have high quality customer service skills.

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RESPONSIBILITIES*

  • Reviewing market schedules for upcoming appointments and ensuring patients are ready for treatment
  • Ensuring accuracy of patient insurance and resolving eligibility issues
  • Ensuring accuracy of insurance authorizations as needed
  • Updating appointment upon receipt of new clinical information
  • Re-onboard patients returning to our care
  • Working with Specialty Pharmacies and Manufacturers for specific medication needs
  • Resolving treatment issues with appropriate clinical staff
  • Communicate with local market teams to ensure awareness of any potential issues or delays to patient treatment

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BENEFITS + PERKS*

  • Flexible work schedule that promotes a positive work-life balance
  • 401(k) program with company-match
  • Comprehensive Health, Dental, and Vision Insurance plans
  • Company-Paid Life/AD&D Insurance
  • Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
  • Voluntary Short-Term and Long-Term Disability Insurance
  • Tuition Reimbursement Program
  • Charitable Giving Match and Community Involvement PTO Program
  • Employee Referral Bonus Program

ESSENTIAL COMPETENCIES

  • Knowledge of basic medical terminology
  • Ability to read and review insurance plan information and knowledge of insurance portals
  • Ability to learn and utilize Electronic Medical Record systems, Practice Management platforms and other software programs
  • Excellent customer service skills
  • Proactive and optimistic attitude
  • Ability to multi-task
  • Enjoy creating a friendly atmosphere
  • Good at coordinating with others to meet collective goals
  • Team player with ability to work in a fast-pasted environment
  • Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)

REQUIRED EDUCATION & EXPERIENCE

  • High school diploma or GED required
  • 2 year/Associates Degree preferred
  • 2-3 years clerical/administrative experience in a health care setting preferred
  • 1-2 years' experience utilizing EMRs (Electronic Medical Records) and/or practice management systems

WAGE RANGE
Pay is based on a number of factors including market location, job-related knowledge, skills, and experience and is benchmarked against similar organizations to our size and industry. For our Eligibility and Insurance Specialist role, we generally pay new hires between $17.83 and $22.16. It is not typical for an individual to be hired at or near the top of the range for roles and compensation decisions are dependent on the facts and circumstances of each situation. In addition to cash pay, full-time regular positions are eligible for 401(k), health benefits, and other company benefits; some of these benefits may also be available for part-time positions.
EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance
  • Work from home

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: Remote

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