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Financial Eligibility Specialist
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- JOB SUMMARY: The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients.
- Ensure that the client's fee scale is appropriately applied to any other payer source such as Medicare, Medicaid, MADAP, and any other third-party insurance.
- Refer clients to medical case manager should someone be entitled to additional assistance.
- Compliance with all expected quality and productivity standards as set by the site Director of Operations, quality team, or their designee.
- Register clients into CPS and ability to complete Case Management visit note explaining any referrals or plans
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