Source Job

US Unlimited PTO

  • Verify patient insurance eligibility, benefits, and referral requirements prior to services.
  • Communicate coverage and financial responsibility to patients in a clear and empathetic manner.
  • Collaborate with cross-functional teams to improve patient access and reduce claim denials.

Revenue Cycle Management Insurance Verification Customer Service Google Workspace EMR Systems

20 jobs similar to Eligibility and Benefits Specialist

Jobs ranked by similarity.

Global

  • Verify patient insurance eligibility, benefits, and coverage prior to treatment.
  • Secure prior authorizations from insurance companies for scheduled medical services.
  • Maintain accurate records of authorizations, approvals, denials, and follow-up activities.

A-DTS is a healthcare services company focused on supporting patient access to care through insurance verification and authorization processes. The company is detail-oriented and emphasizes timely coordination in a remote work environment.

US

  • Process and resolve insurance claims, denials, and appeals accurately and timely using Epic and other systems.
  • Verify patient insurance eligibility, update demographics, and communicate with payors to ensure proper coverage.
  • Analyze and correct claim issues, perform write-offs, and contribute to workflow improvements for optimal AR outcomes.

Exact Sciences helps change how the world prevents, detects and guides treatment for cancer. The company offers an inclusive culture, purpose-driven careers, and robust benefits.

US Unlimited PTO

  • Provide expertise in prior authorization and implement the Inspire Prior Authorization Program.
  • Support patient intake, verify insurance, and manage prior authorization requests.
  • Train sites on program requirements and assist with appeals through External Medical Review.

Inspire Medical Systems is a medical device company dedicated to treating Obstructive Sleep Apnea with an innovative FDA-approved device. The company values a people-first culture, offering excellent benefits, 401k matching, and flexible time off, and is committed to diversity and patient outcomes.

US 16w PTO

  • Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
  • Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
  • Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.

CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.

United States

  • Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
  • Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
  • Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.

Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.

AZ

  • Schedules patient appointments and collects demographic and insurance data via phone or in-person.
  • Verifies insurance eligibility, obtains authorizations, and educates patients on financial assistance.
  • Performs revenue cycle tasks such as payment collection and PBX switchboard operations.

Northern Arizona Healthcare provides healthcare services in the Flagstaff, AZ region. It employs a substantial workforce and emphasizes a customer-centric culture.

US

  • Support patients across outpatient, inpatient, and surgical care settings by explaining insurance coverage and financial responsibilities.
  • Assess patient financial situations and determine eligibility for assistance programs like Medicaid and charity care.
  • Collaborate with clinical teams and administrative leadership to support discharge planning when financial concerns arise.

The company provides patient financial counseling services to healthcare organizations, helping patients navigate insurance and financial barriers. Its size and culture are not specified in the posting.

Global

  • Answer inbound and outbound patient calls professionally and schedule appointments.
  • Verify insurance eligibility, assist with prior authorizations, and coordinate referrals.
  • Maintain accurate patient records in SimplePractice EHR and ensure HIPAA compliance.

The client operates in the behavioral health space and is focused on delivering high-quality patient-centered care. SnappyCX is a remote staffing company that connects healthcare professionals with US-based clients.

  • Manage front desk operations, patient scheduling, insurance verification, and prior authorizations.
  • Support medical billing by reviewing claims, posting payments, and following up on denials.
  • Maintain HIPAA compliance while handling patient records and administrative tasks.

US

  • Handle referral coordination, appointment scheduling, insurance verification, and medical records requests for members.
  • Communicate updates to providers and members, ensuring world-class service and access to high-quality doctors.
  • Work collaboratively in a fast-paced virtual care team, managing multiple priorities with excellent attention to detail.

Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for everyone. The company offers care guidance, advocacy, and access to virtual and in-person care across various health needs.

US

  • Maintains practice management systems, processes insurance claims, and reconciles patient accounts.
  • Investigates rejected claims, corrects denials, and facilitates payment through collections and billing reminders.
  • Ensures HIPAA compliance, resolves patient billing issues, and provides professional customer service.

US Anesthesia Partners provides anesthesia services and revenue cycle management. It is a large US-based healthcare organization focused on billing and insurance operations, emphasizing accuracy and compliance.

US

  • Coordinates all patient scheduling activities including appointments, procedures, and exams for multiple facilities.
  • Collects clinical information, verifies insurance and demographics to ensure appropriate scheduling.
  • Serves as a resource for staff, physicians, and referring offices to improve patient access.

Lehigh Valley Health Network is a nationally recognized health network with multiple hospitals and facilities in Pennsylvania. It employs nearly 20,000 health care professionals and has a culture of trust, collaboration, and excellence, certified as a Great Place to Work.

Global

  • Serve as a key point of contact for patients, coordinating scheduling, insurance verification, and follow-up activities.
  • Manage inbound and outbound calls, maintain accurate EMR records, and ensure HIPAA compliance.
  • Communicate with patients, providers, and insurance companies to deliver high-quality, patient-centered care.

SnappyCX provides customer support and administrative services to various industries. They operate with a remote team and emphasize a fast-paced, healthcare-focused environment.

$50,000–$55,000/yr
US

  • Manage all aspects of payer enrollment for independent providers and care centers in the New Jersey market.
  • Investigate claims/enrollment issues, work within AthenaOne EMR, and resolve Salesforce cases.
  • Partner with internal teams including National Credentialing, Implementation, and Operations Consultants.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on reducing healthcare costs through scalable operations and cloud-based technology, with a culture that values diversity and inclusion.

IL IN IA MO WI

  • Consistently practices Patients First philosophy, responding to questions, forwarding issues, and maintaining patient confidentiality per HIPAA.
  • Collects patient demographic information, schedules appointments, performs medical necessity checks, and provides out-of-pocket cost estimations.
  • Utilizes online systems for order retrieval, insurance verification, and accurate documentation in Epic; proactively analyzes account activity and suggests process improvements.

Northwestern Medicine is a leader in the healthcare industry, putting patients first in every interaction. It offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, and fosters a collaborative workplace.

$17–$21/hr
US

  • Perform billing data entry and verification using 10-key skills to ensure accuracy.
  • Research and resolve missing or incorrect billing information through communication with clients and patients.
  • Verify insurance information and update demographic data to prompt timely payment from insurers.

Labcorp is a global leader in diagnostic testing and drug development solutions, providing insights that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, the company fosters a culture of innovation and continuous improvement.

US

  • Serve as a liaison between OHSU providers and patients, scheduling clinic visits and ancillary procedures while managing referrals and authorizations.
  • Handle high-volume incoming calls, faxes, and mail, ensuring prompt and professional communication with patients and referring providers.
  • Verify patient insurance eligibility, process prior authorizations, and follow up on denied claims to ensure smooth care coordination.

OHSU is Oregon's only public academic health center, providing patient care, research, and education. As Portland's largest employer, it fosters a multicultural and anti-racist workplace.

US

  • Manage complex financial clearance activities for healthcare patients, ensuring accuracy and compliance.
  • Serve as a subject matter expert in insurance verification, payer requirements, and financial resolution processes.
  • Provide mentorship and training to team members while collaborating with clinical teams to improve patient access.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It uses technology to ensure fair and objective application reviews, though the final hiring decisions are made by the employer.

US

  • Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
  • Review, correct, and resubmit rejected or denied claims, track accounts receivable, and maintain detailed AR status reporting
  • Communicate regularly with insurance companies, providers, and internal teams to resolve billing issues and verify insurance eligibility

LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients through complex therapies. As a clinician-led U.S. organization, they foster an inclusive culture where every team member feels valued and empowered.

US

  • Provide exceptional customer service and build rapport with patients.
  • Serve as the new patient scheduling liaison for 16 clinics and telehealth visits across 20+ states.
  • Manage and schedule new patient appointments and promptly respond to patient inquiries.

Aligned Modern Health is changing the face of healthcare with a holistic, multi-disciplinary model offering evidence-based solutions. The company has 16 clinics across Chicago and suburbs, provides telehealth services in over 20 states, and prides itself on outstanding clinical outcomes and a five-star patient experience.