Requisition Posting Title Registration/Eligibility Edits Specialist

Job Summary

• The Registration/Eligibility Edits Specialist is responsible for ensuring the accuracy and completeness of patient demographics information used for medical billing and claims processing.
• This role is critical in reducing the billing errors and ensuring the timely reimbursement by verifying the insurance information, correcting data discrepancies, and maintaining up-to-date patient records.

Essential Functions and Tasks

• Validate Patient Demographics: Review and ensure accuracy of patient details such as name, date of birth, address, and contact info in billing systems.
• Verify Insurance Information: Confirm insurance coverage and eligibility through payer portals or clearinghouses, and update records accordingly.
• Maintain Compliance and Documentation: Adhere to HIPAA regulations, maintain data confidentiality, and document all corrections and validations for audit purposes.

Education an...