Source Job

US 4w PTO

  • Manage inbound calls from patients and healthcare providers regarding insurance coverage, patient access, reimbursement support, and referral updates.
  • Review and validate patient demographics, insurance details, and referral information to ensure accurate processing.
  • Explain healthcare benefits including copays, coinsurance, deductibles, coverage limitations, and financial responsibilities.

Customer Service Insurance Verification Communication Problem Solving Attention To Detail

20 jobs similar to Eligibility Senior Representative

Jobs ranked by similarity.

US

  • Verify and update patient demographic and insurance information with high accuracy.
  • Perform benefits and eligibility verification, and initiate authorization and pre-certification processes.
  • Communicate clearly with patients regarding financial responsibility, next steps, and required documentation.

Advocate Health is a nonprofit integrated health system formed from the combination of Advocate Aurora Health and Atrium Health, providing care under multiple regional brands. They employ 155,000 teammates across 69 hospitals and over 1,000 care locations, with a focus on clinical innovation, equitable care, and community benefit.

US

  • Provide high-quality scheduling and administrative support for patients and clinical teams.
  • Manage complex coordination activities, including registrations, prior authorizations, and documentation.
  • Ensure seamless healthcare access through strong communication and attention to detail.

Jobgether is a job platform using AI to match candidates with roles. They focus on fair hiring processes and provide tools for application management.

US 5w PTO

  • Review and verify insurance coverage, obtain authorizations, and create patient liability estimates while working closely with internal and external stakeholders.
  • Serve as a liaison between patients, providers, and insurance companies to ensure accurate financial services and resolve managed care issues.
  • Provide backup support and cross-coverage for the Centralized Managed Care & Price Estimates Department, including handling trauma admissions and third-party liability.

OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training the next generation of healthcare professionals. As Portland's largest employer, it offers a diverse and inclusive culture with opportunities for growth and advancement.

US

  • Investigate and resolve Coordination of Benefits denials by working with insurance carriers and members.
  • Conduct outreach to members to collect, verify, and update insurance information, providing clear guidance on benefits.
  • Maintain accurate member account records by documenting verified insurance details and coverage changes.

The company is a mission-driven healthcare organization focused on improving access to care. The size and culture are not specified, but the environment emphasizes teamwork, continuous improvement, and meaningful impact.

US

  • Contact patients by phone, email, and text to collect missing insurance information before appointments.
  • Verify insurance eligibility and benefits using Waystar, Availity, and other payer resources.
  • Document all insurance verification details accurately and assist patients with payment methods and forms.

Backpack Medical Group is a healthcare organization dedicated to making healthcare more accessible by ensuring accurate insurance and billing processes. They are a growing, mission-driven team focused on patient experience and collaboration.

$47,000–$60,000/yr
US

  • Verify patient insurance eligibility and benefits prior to services and document findings accurately.
  • Post insurance and patient payments, research variances, and follow up on outstanding claims.
  • Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.

Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.

US

  • Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
  • Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
  • Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.

The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.

Florida

  • Reviews insurance eligibility and coverage issues for patient appointments across practice sites.
  • Serves as the primary escalation contact for scheduling and practice teams on pre-visit and day-of-visit insurance questions.
  • Follows up post-visit to resolve PCP assignment and Coordination of Benefits discrepancies.

Bluebird Kids Health provides underserved communities with value-based pediatric primary care, aiming to help every child thrive through comprehensive services and around-the-clock support. The organization is a dynamic team focused on exceptional health outcomes and a rewarding environment for clinicians and staff.

US 4w PTO

  • Provide outstanding customer service to families over the phone on the Intake queue.
  • Accurately enter patient registration information and schedule initial appointments.
  • Handle variable call-volume, averaging 40 to 70 calls per day, and review cost share amounts.

Cranial Technologies is the only company dedicated to treating plagiocephaly and infant ear deformities with non-invasive treatments. They have treated over 500,000 babies and are a leader in pediatric cranial shaping, with a large team.

US

  • Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
  • Assist participants via email and online messaging, and accurately document all participant communications.
  • Work independently and in a team environment with strong customer service skills; no experience required as training is provided.

Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.

US

  • Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
  • Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
  • Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.

Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.

US

  • Contacts insurance companies for status on outstanding claims and processes appeals.
  • Maintains productivity standards and an accuracy rating of 97% or greater.
  • Works outstanding accounts receivable and provides peer training support.

US Anesthesia Partners is a healthcare company providing anesthesia services. They are a large organization with a focus on revenue cycle management.

$14–$14/hr
US

  • You process patient payments and manage payment plans with accuracy and empathy.
  • You handle insurance verification, claims support, and billing education for patients.
  • You research account issues and resolve billing discrepancies while maintaining professionalism.

Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.

US 3w PTO

  • Assess, identify, and resolve dental provider inquiries regarding claims, eligibility, and benefits via phone in a timely and professional manner.
  • Research and handle complex requests, manage personal inventory, and ensure effective follow-up to meet quality and business metrics.
  • Communicate clearly with providers, peers, and leadership, and contribute to divisional and corporate goals while fostering a team-based environment.

Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston, serving 2.8 million members for over 75 years. We are consistently ranked among the nation's best health plans and are dedicated to creating an inclusive, wellness-focused culture that promotes work-life balance.

Kentucky

  • Manage patient account activities to optimize reimbursement and reduce accounts receivable.
  • Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
  • Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.

The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.

$30,275–$43,975/yr

  • Manage patient collections and financial arrangements via calls and account review.
  • Inform patients of coverage options including Government programs and Financial CARE.
  • Perform skip tracing and resolve accounts with uninsured or residual balances.

Air Methods provides air medical transport services. The company is an EEO/AA employer with a focus on patient billing and collections, and maintains a culture of compliance and compassion.

  • Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
  • Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
  • Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.

Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.

US

  • Assist with customer outreach calls to encourage scheduling of annual visits.
  • Provide accurate information, resolve problems, and document inquiry details comprehensively.
  • Maintain a helpful, caring, and empathetic attitude with effective verbal and written communication.

Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to various locations. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world.

US

  • Serve as the primary point of contact for providers and Medicare contractors, responding to inquiries via phone, written, and electronic channels.
  • Maintain knowledge of contract requirements, develop professional relationships, and educate providers on proper protocols and appeal rights.
  • Perform research, due diligence, and data entry to resolve complex issues, while notifying management of escalated concerns.

Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company combines an AI-powered platform with best-in-class expertise.

US

  • Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
  • Ensure timely follow-up and organize health insurance paperwork and medical records.
  • Communicate status updates, negotiate with providers, and appeal claim denials on behalf of plan members.

Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.