Member Financial Specialist – Eligibility & COB

Accountabilities:

• Investigate and resolve Coordination of Benefits (COB) denials by working directly with insurance carriers and members.
• Conduct outreach to members to collect, verify, and update insurance information while providing clear guidance on benefits, coverage, and next steps.
• Maintain accurate member account records by documenting verified insurance details, coverage changes, and financial responsibility updates.

Requirements:

• Bachelor’s degree or an equivalent combination of education and relevant professional experience.
• Minimum of 2 years of experience in patient access, financial counseling, utilization management, or a related healthcare support function.
• Experience communicating with insurance payers and navigating commercial, Medicare, and Medicaid plans.

Benefits:

• Competitive hourly compensation ranging from $19.05 to $25.16 per hour.
• Remote work flexibility with the ability to support members from a virtual setting.
• Opportunities to develop expertise in eligibility, benefits coordination, and healthcare financial operations.