Eligibility and Benefits Specialist

Job Summary

To enhance patient financial experiences, the full-time remote Eligibility and Benefits Specialist will verify patient insurance eligibility and benefits, obtain necessary referrals, and communicate coverage details while collaborating with the Revenue Cycle team to resolve issues and improve operations.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and referral requirements prior to services
• Obtain and track referrals, ensuring all requirements are met before scheduling treatment
• Communicate insurance coverage and financial responsibilities to patients clearly and empathetically

Required Qualifications

• 2+ years of healthcare revenue cycle experience focused on eligibility and benefits verification
• Experience using payer portals and insurance verification tools
• Proficiency with EMR and insurance verification systems
• Experience working in a remote environment with independent priority management
• Strong organizational and analytical skills with attention to detail