Eligibility and Benefits Specialist

Job Summary

To support patient access to care, the full-time remote Eligibility and Benefits Specialist will manage insurance benefit verification, ensuring accurate coverage details and financial responsibilities while contributing to the Central Access and Authorizations Team's operational excellence.

Key responsibilities

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

Required qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred, ideally in a healthcare-related field
• Certified Benefits Specialist preferred, or equivalent experience with 2+ years in a related role
• Experience in a healthcare-related area is strongly preferred, with knowledge of medical terminology and revenue cycle management
• Detail-oriented with a strong understanding of post-acute care and long-term acute care hospital operations