Sr. PA

As an eligibility verification specialist, your role involves reviewing and verifying client information to determine their eligibility for specific benefits or programs. You will be responsible for communicating with clients or relevant parties to collect necessary information and coverage limits. Based on their eligibility status, you will determine the extent of benefits available to clients and maintain accurate records of client information, eligibility status, and benefit details. Additionally, documenting verification processes and outcomes for future reference is a key aspect of your role. Key Responsibilities: - Review and verify client information for eligibility - Communicate with clients to gather necessary information and coverage limits - Determine benefits available based on client eligibility - Maintain accurate and up-to-date client records - Document verification processes and outcomes - Communicate eligibility and benefit information to clients and stakeholders - Provide clear explanations of benefits, coverage details, and necessary actions - Address and resolve discrepancies or issues related to eligibility or benefits - Collaborate with other departments to ensure accurate information flow - Stay informed about laws, regulations, and industry standards - Ensure compliance with guidelines and policies - Provide excellent customer service by responding to inquiries and assisting clients Qualifications: - Any graduate or equivalent; additional education or certifications in healthcare administration may be preferred - Previous experience in eligibility verification or benefit analysis - Knowledge of insurance policies, financial assistance programs, or relevant benefits - Strong attention to detail and accuracy - Excellent communication and interpersonal skills In addition to the above responsibilities and qualifications, it is important to note that the compensation for this position is as per industry standards.,