Enrollment Benefits Specialist
$40,352–$43,950 year
On-siteWausau, Wisconsin, United States
Job Summary
Complete all aspects of enrollment for outpatient admissions, hospital discharges, and walk-in intakes. Verify insurance eligibility, benefits, and authorization requirements using payer portals. Review daily schedules to ensure accurate demographic and financial data. Contact guardians for minor patients to secure required signatures and documentation. Resolve insurance discrepancies and maintain Ability to Pay information. Collaborate with Patient Accounts, providers, and external partners to meet enrollment prerequisites. Enter and update demographic, insurance, and financial information in the electronic medical record. Maintain confidentiality and compliance with HIPAA regulations. Participate in cross-training to support Patient Access operations.
Required Qualifications
- High School Diploma or equivalent
- More than 1 year of customer service experience in healthcare, insurance, or a closely related field
- Working knowledge of insurance plans, eligibility verification, and billing practices
Desired Qualifications
- Associate's Degree in a healthcare-related field
- More than 1 year of experience with medical billing, registration, or enrollment processes
- Experience working with diverse patient populations, including individuals with mental health and substance use disorders
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