Eligibility and Benefits Specialist

Job Summary

To support patient access to care, the full-time remote Eligibility and Benefits Specialist will verify insurance benefits and eligibility, ensuring accurate coverage details and financial responsibilities for admissions while safeguarding revenue integrity.

Key responsibilities

• Verify patient insurance coverage and eligibility for admission services with primary and secondary payors
• Access and review multiple insurance verification portals to confirm benefits and eligibility details
• Communicate benefit information and potential patient responsibilities to team members for smooth admissions

Required qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred in a healthcare-related field
• Certified Benefits Specialist preferred; alternatively, 2+ years of relevant experience accepted
• Experience in a healthcare-related area strongly preferred, with knowledge of medical terminology and revenue cycle management
• Detail-oriented with experience in the post-acute care industry and long-term acute care hospital settings