Detail of : Eligibility Representative Job Opening in Remote
Work at Home
is hiring experienced Eligibility Specialists to work from home! Under the direction of their Supervisor, Eligibility Specialists accurately maintain enrollment records based on daily requests received from the various internal and external stakeholders. This is a fast-paced, high volume role. In order to be successful in this role, you should possess strong professional communication skills, written and verbal, and maintain a high level of confidentiality. Responsibilities
Responsible for the accurate update and maintenance of enrollment records received electronically to facilitate the processing of claims and other service requests, in accordance with operational policies and daily production standards
Process assigned eligibility reports to completion, accurately updating and maintaining enrollment records, in accordance with operational policies and procedures.
Ensures accurate and timely data entry into the IDX system for each patient, according to established standards.
Process electronic verification request from internal and external stakeholders.
Call and follow up with Healthcare Plans to resolve eligibility issues.
Properly analyzes various payor eligibility responses to find the information needed to complete verifications.
Follows all HIPAA, compliance, privacy and confidentiality standards.
Updates and maintains enrollment records of members.
Performs other duties as assigned.
Minimum of 1 year experience working in healthcare, preferrably in a member/provider service role
IDX system experience
Ability to Interact and maintain excellent relationships with internal and external contacts to support compliance and high levels of service
Basic Microsoft Office skills (Word, Outlook, Excel)
Strong communication skills, both written and verbal
Solid technical aptitude with ability to navigate multiple systems at once
Minimum education level of high school diploma/GED
For more detail information about the program, please refer official source from Broadpath on following link below. If you meet these requirements, please register yourself at :
Only qualified candidates that meet with the above requirements would be processed in this recruitment.
Only qualified, short-listed applicants will be invited for furthers process.
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