4 дня назад
Eligibility Specialist (Healthcare)
22 - 24$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Eligibility Specialist (Healthcare): Resubmitting invoices, researching insurance coverage, and resolving eligibility variances for oncology care with an accent on referrals, authorizations, patient financial responsibility, and accurate documentation. Focus on investigating payer issues, coordinating missing information, and maintaining compliance with HIPAA and applicable regulations.
Location: Remote, associated with Englewood, Colorado
Salary: $22–$24 per hour
Company
is a nationwide network of community-based oncology physicians supported by McKesson and focused on advancing cancer care, technology, and quality of care.
What you will do
- Research current insurance coverage information and update patient management systems.
- Analyze and resolve eligibility variances through web research and patient or payer contact.
- Coordinate referrals, retro-authorizations, and required documentation.
- Identify uninsured patients and refer them for payment assistance coordination.
- Document payer conversations, resolve routine account inquiries, and escalate non-routine issues.
- Communicate payer trends and system issues to leads or supervisors while protecting patient records.
Requirements
- High school diploma or equivalent.
- Entry-level profile with 0–2 years of experience in front desk operations, registration, healthcare benefits, or an equivalent area.
- Proficiency with computer systems and Microsoft Word and Excel.
- Compliance with confidentiality, state and federal regulations, and HIPAA requirements.
- Ability to work remotely in the United States; the role is associated with Englewood, Colorado.
Culture & Benefits
- Full-time employment.
- Medical, dental, and vision insurance.
- Life insurance, short- and long-term disability coverage, and wellness programs.
- 401(k) with matching contributions.
- Paid time off and paid holidays.
- Work may involve occasional travel to office sites and interaction with oncology clinic environments.
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