Eligibility Representative

Location: Remote
Compensation: Hourly
Staff Reviewed: Mon, May 13, 2024
This job expires in: 19 days

Job Summary

A company is looking for an Eligibility Representative for their Revenue Cycle team.

Key Responsibilities:
  • Verify and correct patients' insurance and policy information in an accurate and timely manner
  • Identify system failures related to payer mapping and build errors
  • Work collaboratively with off-shore team members to improve eligibility performance and reduce denials

Required Qualifications:
  • Knowledge of medical billing and eligibility practices, medical terminology, and claim processing requirements
  • Insurance Payer/Plan knowledge including BUCHA Payers, Workers Comp, Auto
  • Experience with insurance payers' eligibility requirements and common issues
  • Experience with insurance payer portals, eligibility verification, and eligibility response information
  • Self-driven and able to work independently in a fast-paced environment

COMPLETE JOB DESCRIPTION

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