Eligibility & Benefits Specialist

Job Summary

To enhance patient financial experiences, the full-time remote Eligibility & Benefits Specialist will verify patient insurance eligibility and benefits, obtain necessary referrals, and communicate coverage details while collaborating with cross-functional teams to support efficient revenue cycle operations.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and referral requirements before services are rendered
• Obtain and track referrals from healthcare providers, ensuring all requirements are met prior to scheduling
• Document insurance coverage and eligibility details accurately within internal systems and resolve discrepancies impacting patient care

Required Qualifications

• Bachelor's Degree in Business Administration or relevant coursework
• 2+ years of healthcare revenue cycle experience focusing on eligibility, benefits, and insurance verification
• Experience with payer portals and insurance verification tools
• Proficiency with EMR and insurance verification systems
• Ability to work successfully in a remote environment while managing priorities independently