Eligibility Specialist


 

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Part Time Position; estimated 30 hours, with ability to grow to 40 hours if desired

2+ years of Experience Required

Experience with Preventive and Medical Benefits required.

Responsibilities

  • Verify insurance benefits for nutrition counseling services, ensuring compliance with preventive care benefits and authorization requirements.
  • Utilize various online platforms and resources to access insurance portals and obtain accurate information regarding coverage details.
  • Conduct thorough eligibility checks for patients, verifying their insurance coverage and determining co-payments, deductibles, and maximum benefits.
  • Collaborate closely with the billing team to obtain necessary information and resolve any insurance-related issues.
  • Communicate insurance benefits and requirements to the team in simple and easy-to-understand verbiage.
  • Provide ongoing support and guidance to the team regarding insurance-related matters, addressing any questions or concerns promptly.
  • Stay up-to-date with changes in insurance policies, regulations, and billing codes to ensure compliance and accurate verification.
  • Maintain accurate and detailed records of insurance verification activities, including documentation of communication with insurance companies and clients.
  • Identify opportunities for process improvement and contribute to the development of efficient workflows within the eligibility and benefits verification process.

Job Types: Part-time, Contract

Pay: $18.00 - $20.00 per hour

Benefits:

  • Flexible schedule

Schedule:

  • Monday to Friday

Work setting:

  • Remote
  • Telehealth

Application Question(s):

  • Describe your experience with the Affordable Care Act and Preventive Coverage.
  • Do you have eligibility verification or billing experience with nutrition counseling? If yes, please elaborate.
  • What payer portals are you familiar with using to verify benefits? Be specific.
  • What speciality have you checked benefits for? Be specific.
  • Please list your timezone.

Experience:

  • Insurance verification: 2 years (Required)

Shift availability:

  • Day Shift (Required)

Work Location: Remote

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