Job Description

Position Description: Are you energized by helping others? Are you a builder who thrives on fast-paced, high-impact work? Are you driven to change the standard of care in womens health?
The Lactation Network is hiring an Eligibility Specialist-Special Projects . This position is responsible for verifying coverage and coordinating benefits, specifically for our Employer Contracted lactation consultation visits, as well as collecting and entering patient information and managing multiple accounts. The role works on the Lactation Services Billing Team and expedites the intake process for TLN.
We are a small, tight-knit, purpose-driven organization with aggressive growth goals in 2023 and beyond. We dont have all the answers and we dont expect you to, either. We do expect you to be curious, hardworking, and striving to be your best self.
Role Breakdown
Eligibility Insurance Communication (50%). Youll work closely with our Strategic Partnership and Patient Care teams to ensure a smooth eligibility and intake process for patients participating in our Newborn Families and special project programs.
Gathering & Maintaining Information (30%). Daily review of patient account information ensuring accuracy and completeness. Maintain and update current standard operating procedures for newly acquired accounts.
Record Handling (20%). Ability to move through database systems quickly and efficiently while maintaining a high attention to detail.
What youll do
Verification of patient insurance, coordination of benefits and determination of coverage for lactation consultation visits per company policy
Reviewing hundreds of patients information on a daily basis while maintaining HIPAA standards of confidentiality
Familiarity with Insurance payer portals, eligibility verification processes and insurance plan types
Occasional after-hours, weekend, and holiday work on a voluntary basis
High level of detail and accuracy required for maintaining and updating patient records.
Contributes to team effort by not only delivering on defined responsibilities but also supporting other team members in their roles as needed.
Willingness and ability to adapt to changing processes as needed.
What we expect from you To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High School Diploma or equivalent required
Dedicated to providing outstanding customer service.
Strong communication skills with an understanding of insurance companies
Requires knowledge of billing relationships, insurance providers and plans
Ability to multi-task and work in a fast-paced environment without getting distracted
Self-starter with the ability to work collaboratively on a team and to take direction
Excellent telephone and email skills and etiquette
What wed also love to see
Undergraduate degree
3+ years of healthcare experience
Experience with NextGen and Salesforce
What you can expect from us
Generous PTO. We work hard. Were passionate about what were building together. We also have lives outside work.
Benefits. Medical plus voluntary vision, dental. (We are a healthcare company, after all.)
401(k) with employer match. Were planning for the futureand we want to help you do the same.
Flexibility on remote work. We like spending time together in our West Town office and are transitioning to a flexible in-office culture for those who want to return to work in-person. Some team members will continue to work remotely (based upon role and/or geography).
Wellness. Youll have complimentary access to the leading app for meditations, sleep stories, and other wellness resources.
Recharge. We have one designated no meeting day each week so you can take a break from videoconferencing and have some quiet time to focus.
Professional development. We invest in our team by offering every employee access to a professional development budget.
Competitive compensation. Were looking for top talent.
A growth environment. The skys the limit.
About Lactation Network The Lactation Network is setting a new standard for parents and lactation consultants alike. At TLN, our movement goes beyond any single outlet or tool. We activate education, connection, and advocacy to foster the new network of inclusive care between parents and IBCLCs; the network where every caregiver has the resources to thrive. TLN is powered by the largest network of IBCLCs in the country. Together, we are here to make sure families get the expert insurance covered lactation care that they deserve.

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