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ELIGIBILITY CONTROL SPECIALIST

Company: Aspire Health Partners
Location: Orlando
Posted on: April 3, 2024

Job Description:

ELIGIBILITY CONTROL SPECIALISTEligibility ControlSpecialistWho are we? For over fifty years, Aspire Health Partners,has been one of the leading non-profit behavioral health companies in theSoutheast. Serving nearly 40,000 clients per year, with locations in sixCentral Florida counties and currently expanding into Hinesville, Georgia Aspire has delivered state-of-the-art behavioral healthcare and is regularlysought out both statewide and nationally as an expert in the field. With itsmission of providing the highest quality of compassionate, comprehensive andcost effective integrated behavioral healthcare, Aspire, through its more thantwo dozen campus locations provides a comprehensive continuum of services forchildren, adolescents, adults, seniors and families. Through innovative,resourceful treatment and recovery approaches Aspire offers individuals andfamilies the opportunity to "aspire" to healthier, happier and more independentlives. Aspire employs more than 1,200 professionals and paraprofessionalsdedicated to Saving Lives, Transforming Communities and Changing the World.POSITIONCOMPONENT: ELIGCONTWho You Are: You're an experienced team player with variedexperience and education looking for an opportunity to define your owncareer path, connect with a supportive community ofhealth professionals like you and increase yourearning potential. You have a passion for working in different care settingsand making a difference in lives.What will you do? As clientpayer sources and program assignments can change over a client's life span within the Aspire system of care, Verification at regular intervals will be required toassure accuracy of assigned payer source(s) and responsiveness to our dynamic environment. As an EligibilityControl Specialist, your job is to assure that the appropriate payer sourcesand program assignments are monitored for accuracy. This is accomplished by producing reports fromthe Electronic Health Record system (EHR) and other sources, identifying anyimproper payer source/program assignments and ensuring the workflow will followthe correct "waterfalling" process at the tier level. Your work isaccomplished by interfacing with both Administrative/Support andMedical/Clinical/Program areas for validations and clarifications via phonecalls, emails, and TEAMS. Your work willensure accurate and complete information and will prevent delays inreimbursement, decreased revenues, as well as audit or compliance violations.Additionally, theSpecialist will engage in audit support activities as clients transitionthroughout Aspire and other work as required to maximize revenue.Qualifications

  • Level II Background clearance is required.
  • Education level of Associates, or Bachelors in a germane field is preferred.
  • Two years successful experience working in a corporate, educational or governmental environment required.
  • Experience in Data Reclamation, Accounting, Patient Accounts/Billing, Analysis, and/or Healthcare Risk/Compliance is preferred.All the benefits and perks you need for you and your family:We are committed to providing our employees with the supportthey need. At Aspire Health Partners, we offer eligible staff an attractivebenefit package that includes medical, wellbeing, dental and vision benefitsalong with some unique benefits including:
    • Medical, Dental, Vision, Basic Life & Supplemental Insurance, Flexible Spending & Health Savings Accounts
    • Paid Time Off (PTO) (2.5 weeks your first year, up to 6 weeks at 14 years)
    • Paid Diversity & Floating Holidays (2)
    • Paid Holidays (6)
    • 403(b) 50% employer match up to 10% (3-year vesting cliff)
    • Employee Discounts including Tickets, Retail, Hotel, Car Rental/Purchase
    • Short-Term & Long-Term Disability Insurance
    • HRSA Loan Forgiveness
    • Employee Assistance Plan (EAP)
    • Will preparation/Funeral Planning
    • Concierge Services & Travel AssistancePIc63fffed9210-31181-33183761

Keywords: Aspire Health Partners, Orlando , ELIGIBILITY CONTROL SPECIALIST, Other , Orlando, Florida

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