Eligibility Specialist
New
J
JobgetherHealthcare Administration
Based in United States, Monday through Friday, 8:00 AM–4:00 PM ESTFull-TimeMiddle
Salary$44,000 - $52,000 USD annually
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Job Details
- Experience
- Minimum of 1 year
- Required Skills
- HIPAA
Requirements
- Active Medical Assistant Certification (CMA, RMA, or CCMA) required.
- Minimum of 1 year of experience reviewing and collecting medical records or working in a healthcare-related administrative role.
- At least 1 year of experience in a primary care, endocrinology, urgent care, or similar clinical setting.
- Experience with electronic medical record (EMR) systems and healthcare documentation processes.
- Working knowledge of HIPAA regulations and healthcare privacy standards.
- Strong written and verbal communication skills.
- Excellent organizational skills and attention to detail.
- Ability to work independently in a remote environment.
- Previous experience in remote healthcare operations or work-from-home settings is preferred.
- Availability to work Monday through Friday, 8:00 AM–4:00 PM EST.
Responsibilities
- Review patient records, clinical documentation, and administrative information to determine eligibility accurately and efficiently.
- Request, collect, organize, and track medical records from external healthcare providers while maintaining compliance with privacy and confidentiality standards.
- Communicate clearly and professionally with patients, clinicians, and external providers throughout the eligibility process.
- Keep patients informed about eligibility status, required documentation, and next steps to support a smooth onboarding experience.
- Maintain accurate records within electronic medical record (EMR) systems and ensure all required information is complete.
- Manage multiple eligibility cases simultaneously while prioritizing tasks and meeting operational expectations.
- Apply knowledge of healthcare processes, insurance requirements, and patient support workflows to resolve documentation challenges.
- Collaborate independently and with cross-functional teams to improve patient access and operational efficiency.
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