Office Coordinator - BenchMark Physical Therapy - Abingdon, VA
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multi-specialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.
From our extensive facilities in Whittier, California and Downey, California, PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley.
The ELIGIBILITY SPECIALIST is responsible for verifying PHP Group/IPA HMO members eligibility including coordination of benefits, linking employers groups with benefit products, auditing data in Data Wing Eligibility Manager for auto-load of members into EZ-CAP, reviewing eligibility for Priority UM Referrals/Claims which may require manual data entry of members current enrollment into EZ-CAP, working on various eligibility reports to eliminate duplicate members, correct bad addresses, contact unassigned members to assist with a PCP change; assist with PCP capitation audits/process, support Supervisor with P4P reports and provide support to IPA PCPs/others as necessary; with an emphasis on front-line eligibility problem solving.
Required Skills
Required Experience
Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V