Job Summary
A diversified health care company that serves the markets for health benefits and services worldwide has a current position open for a Work from Home Claims Eligibility Coordinator-Clerk.
Candidates will be responsible for the following:
- Verifying eligibility with health plans via the telephone or web site
- Maintaining a daily spreadsheet for completed eligibility requests and mail backs sent
- Running EDI Eligibility Fallout process to create Eligibility Worksheets, Mail Backs and Trailers
Position Requirements Include:
- High School Diploma or GED
- 1 year of experience in medical office or claims environment
- 1-2 years of experience in HMO / PPO in eligibility maintenance
- 1-2 years of experience in HMO or related entities with eligibility systems applications
- 1 year of Computer knowledge: Basic Excel, Word, Outlook, Alpha Numeric Entry, 40-45 wpm
- Demonstrated computerized database administration skills
