Eligibility Control
Specialist
Who are we? For over fifty years, Aspire Health Partners,
has been one of the leading non-profit behavioral health companies in the
Southeast. Serving nearly 40,000 clients per year, with locations in six
Central Florida counties and currently expanding into Hinesville, Georgia Aspire has delivered state-of-the-art behavioral healthcare and is regularly
sought out both statewide and nationally as an expert in the field. With its
mission of providing the highest quality of compassionate, comprehensive and
cost effective integrated behavioral healthcare, Aspire, through its more than
two dozen campus locations provides a comprehensive continuum of services for
children, adolescents, adults, seniors and families. Through innovative,
resourceful treatment and recovery approaches Aspire offers individuals and
families the opportunity to "aspire" to healthier, happier and more independent
lives. Aspire employs more than 1,200 professionals and paraprofessionals
dedicated to Saving Lives, Transforming Communities and Changing the World.
POSITION COMPONENT: ELIGCONT
Who You Are: You're an experienced team player with varied experience and education looking for an opportunity to define your own career path, connect with a supportive community of health professionals like you and increase your earning potential. You have a passion for working in different care settings and making a difference in lives.
What will you do? As client payer 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 to assure accuracy of assigned payer source(s) and responsiveness to our dynamic environment.
As an Eligibility Control Specialist, your job is to assure that the appropriate payer sources and program assignments are monitored for accuracy. This is accomplished by producing reports from the Electronic Health Record system (EHR) and other sources, identifying any improper payer source/program assignments and ensuring the workflow will follow the correct "waterfalling" process at the tier level.
Your work is accomplished by interfacing with both Administrative/Support and Medical/Clinical/Program areas for validations and clarifications via phone calls, emails, and TEAMS. Your work will ensure accurate and complete information and will prevent delays in reimbursement, decreased revenues, as well as audit or compliance violations.
Additionally, the Specialist will engage in audit support activities as clients transition throughout Aspire and other work as required to maximize revenue.
Qualifications
All the benefits and perks you need for you and your family:
We are committed to providing our employees with the support they need. At Aspire Health Partners, we offer eligible staff an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including: