Eligibility and Benefits Specialist

Job Summary

To support patient access to care, the per diem remote Eligibility and Benefits Specialist will verify insurance benefits and eligibility, ensuring accurate coverage details and financial responsibilities while contributing to the Central Access and Authorizations Team (CAAT).

Key responsibilities

• Verify patient insurance coverage and eligibility for admission services with primary and secondary payors
• Access multiple insurance verification portals to determine benefits and eligibility coverage
• Communicate benefit details and potential patient responsibilities to appropriate team members

Required qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree preferred, especially in a healthcare-related field
• Certified Benefits Specialist preferred; 2+ years of relevant experience may substitute for certification
• Experience in a healthcare-related area is strongly preferred
• Knowledge of medical terminology and revenue cycle management is essential
• Familiarity with post-acute care and long-term acute care hospital environments is advantageous