EasterSeals UCP
Eligibility & Collections Specialist
EasterSeals UCP, Raleigh, North Carolina, United States, 27601
Do you have a passion for making a real difference in the lives of people living with mental health challenges and disabilities? Easterseals PORT Health is seeking a dedicated
Eligibility & Collections Specialist
to join our Revenue Cycle team. In this vital role, you will help drive access to care by ensuring clean claims, accurate billing, and thoughtful patient communication around financial responsibilities. At Easterseals PORT Health, we believe in treating the whole person. That includes supporting individuals and families through the financial side of treatment - with compassion, accuracy, and a solutions-focused mindset.
What You'll Do
Eligibility Support
Verify insurance eligibility and benefits, including deductibles, co-pays, and coinsurance Complete insurance verification for all newly admitted clients in Welligent Update and monitor patient insurance to support clean, timely billing Review and resolve eligibility denials and rejections Collect Coordination of Benefits (COB) info and support Pro Bono/Charity Care documentation Collections Support
Audit and reconcile Self-Pay balances for accuracy Generate and send statement reports to program staff Communicate directly with patients via phone, mail, and email about outstanding balances Set up payment plans in line with company policy and post payments in the EHR system Create/manage patient portal accounts and respond to billing inquiries Teamwork & Communication
Raise issues and share updates with leadership to ensure smooth operations Collaborate on process improvements and internal reporting Support other claims/collections tasks as needed What We're Looking For
High School Diploma or GED required Minimum 2 years' experience in:
Medicaid, Medicare, Private Insurance, and Managed Care (MCO) Medical and/or Behavioral Health Claims & Collections
Strong knowledge of Explanation of Benefits (EOBs), co-pays, coinsurance, deductibles, and denial codes Customer service and problem-solving expertise Proficient in Microsoft Word, Excel, Outlook How You'll Benefit
You'll earn a
competitive hourly salary of $22 an hour based on experience and join a growing team making a difference in our community.
Our benefits include :
Paid time off and paid holidays Medical, Dental, and Vision Health Benefits + an optional Flexible Health Spending Account (FSA) Life Insurance, Disability Insurance and more 403(b) Retirement Plan Employee Assistance Program and Legal services, when needed Lots of Merchant Discounts to improve your purchasing power!
If you seek a rewarding career opportunity where you can make a huge difference in the daily lives of the people you will help, then please apply now at our website:
www.eastersealsucp.com
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy, compassionate partner providing exceptional disability, behavioral health and addiction treatment services to help our neighbors live their best lives. Our diverse and inclusive 2,600-member team provides meaningful support to 40,200 kids, adults and families in 11,000 home, facility and community locations across North Carolina and Virginia.
Our working environment
supports employee and client health with a 'no tobacco' use policy (tobacco free and smoke free) in all offices, client facilities, properties, and agency vehicles.
We believe that by
leveraging the unique strengths and perspectives of our workforce, we can advance our just cause, while building a healthy, sustainable organization. That's why we listen, seek to understand & act to make ESPH an Inclusive, Diverse, Equitable, Authentic & Learning (IDEAL) organization.
Applicants of all abilities are encouraged to apply!
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Eligibility & Collections Specialist
to join our Revenue Cycle team. In this vital role, you will help drive access to care by ensuring clean claims, accurate billing, and thoughtful patient communication around financial responsibilities. At Easterseals PORT Health, we believe in treating the whole person. That includes supporting individuals and families through the financial side of treatment - with compassion, accuracy, and a solutions-focused mindset.
What You'll Do
Eligibility Support
Verify insurance eligibility and benefits, including deductibles, co-pays, and coinsurance Complete insurance verification for all newly admitted clients in Welligent Update and monitor patient insurance to support clean, timely billing Review and resolve eligibility denials and rejections Collect Coordination of Benefits (COB) info and support Pro Bono/Charity Care documentation Collections Support
Audit and reconcile Self-Pay balances for accuracy Generate and send statement reports to program staff Communicate directly with patients via phone, mail, and email about outstanding balances Set up payment plans in line with company policy and post payments in the EHR system Create/manage patient portal accounts and respond to billing inquiries Teamwork & Communication
Raise issues and share updates with leadership to ensure smooth operations Collaborate on process improvements and internal reporting Support other claims/collections tasks as needed What We're Looking For
High School Diploma or GED required Minimum 2 years' experience in:
Medicaid, Medicare, Private Insurance, and Managed Care (MCO) Medical and/or Behavioral Health Claims & Collections
Strong knowledge of Explanation of Benefits (EOBs), co-pays, coinsurance, deductibles, and denial codes Customer service and problem-solving expertise Proficient in Microsoft Word, Excel, Outlook How You'll Benefit
You'll earn a
competitive hourly salary of $22 an hour based on experience and join a growing team making a difference in our community.
Our benefits include :
Paid time off and paid holidays Medical, Dental, and Vision Health Benefits + an optional Flexible Health Spending Account (FSA) Life Insurance, Disability Insurance and more 403(b) Retirement Plan Employee Assistance Program and Legal services, when needed Lots of Merchant Discounts to improve your purchasing power!
If you seek a rewarding career opportunity where you can make a huge difference in the daily lives of the people you will help, then please apply now at our website:
www.eastersealsucp.com
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy, compassionate partner providing exceptional disability, behavioral health and addiction treatment services to help our neighbors live their best lives. Our diverse and inclusive 2,600-member team provides meaningful support to 40,200 kids, adults and families in 11,000 home, facility and community locations across North Carolina and Virginia.
Our working environment
supports employee and client health with a 'no tobacco' use policy (tobacco free and smoke free) in all offices, client facilities, properties, and agency vehicles.
We believe that by
leveraging the unique strengths and perspectives of our workforce, we can advance our just cause, while building a healthy, sustainable organization. That's why we listen, seek to understand & act to make ESPH an Inclusive, Diverse, Equitable, Authentic & Learning (IDEAL) organization.
Applicants of all abilities are encouraged to apply!
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.