Eligibility Process Associate – PH

This is a fully remote position, open to applicants in United States.

📋 Description

• Confirm the eligibility and benefits of patients' insurance.

• Assess insurance coverage, copayments, deductibles, coinsurance, and authorization protocols.

• Reach out to insurance providers to verify eligibility and benefit details.

• Meticulously record eligibility information in internal databases.

• Ensure precise Revenue Cycle Management (RCM) documentation.

• Work in conjunction with the Billing, Front Desk, and Credentialing departments.

• Spot inconsistencies and escalate concerns as needed.

• Achieve productivity, accuracy, and quality benchmarks while adhering to company policies.

⛳️ Requirements

• High school diploma or its equivalent.

• Bachelor's degree in a relevant field (preferred).

• Fundamental understanding of medical billing, insurance eligibility, or Revenue Cycle Management (RCM).

• Exceptional attention to detail and strong organizational abilities.

• Outstanding verbal and written communication skills.

• Proficiency in Google Workspace, healthcare systems, and related software.

• Capability to analyze data and rectify discrepancies.

• Ability to work both independently and as part of a team in a remote setting.

• Openness to learning and adapting in a dynamic environment.

• Experience in insurance eligibility verification, medical billing, or Revenue Cycle Management.

• Familiarity with healthcare systems, EHRs, or insurance payer portals.

🏝️ Benefits

• Paid Time Off (PTO, 10 days annually).

• Paid U.S. holidays.

• Paid birthday leave.

• Monthly health stipend.

• Parental leave​.