Eligibility & Benefits Specialist

Responsibilities:

• Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services.
• Obtain referrals from primary care providers and ensure all referral requirements are met before scheduling.
• Communicate insurance coverage, financial responsibility, and estimated costs to patients in a clear and empathetic manner.

Qualifications:

• 2+ years of healthcare revenue cycle experience with a focus on eligibility, benefits, or patient access.
• Experience using payer portals, Availity, and other insurance verification tools.
• Proficiency with EMR systems such as Athenahealth or Apero and Google Workspace.

Benefits:

• Employer-sponsored medical, dental, and vision coverage.
• Flexible time off plus 11 paid company holidays.
• Eligibility to contribute to 401(k) and tailored professional development.