Eligibility and Benefits Specialist Full Time Remote

About Our Client:
The organization operates within the healthcare industry, addressing the critical need for effective patient care coordination and administrative accuracy. It focuses on empowering caregivers by fostering a culture of collaboration, curiosity, and commitment to patient-centered service. Through its dedicated teams, the program aims to reduce barriers in healthcare access and improve operational processes that directly impact patient outcomes.
About the Opportunity:
The ELIGIBILITY AND BENEFITS SPECIALIST plays an essential role in facilitating patient access to healthcare services by verifying insurance coverage and benefits prior to admission. This position ensures accuracy in patient insurance information, minimizes administrative errors, and supports revenue integrity. As a member of the Central Access and Authorizations Team, the specialist contributes to optimizing admission processes and coordinating benefits verification, thereby enhancing the efficiency and reliability of patient care admissions.
Responsibilities:
Verify patient insurance coverage and eligibility with primary and secondary payors
Review insurance policies to confirm active coverage and identify financial responsibilities such as deductibles and co-pays
Access and utilize Medicare and other insurance verification portals
Coordinate with hospital departments and patients or families to obtain and confirm benefits information
Document benefit details including limits, restrictions, and authorization requirements
Enter benefits data accurately into relevant systems
Communicate insurance details and potential patient financial responsibilities to team members
Participate in professional development and continuous process improvement within the team
Support scheduling and pre-registration processes using designated software platforms
Perform ad hoc duties within the scope of the team
Requirements:
High School Diploma or GED required; Associates or Bachelors Degree preferred, especially in healthcare-related fields
Certified Benefits Specialist credential preferred; alternatively, 2+ years of relevant experience
Strong attention to detail and organizational skills
Proficient in computer applications and data entry
Excellent oral and written communication skills
Ability to work collaboratively within a team
Knowledge of medical terminology, revenue cycle management, and post-acute care industry is preferred
Must read, write, and speak fluent English
Good and regular attendance
Pay Range and Compensation Package:
Pay range: $21.01 to $26.72 per hour
Benefits & Perks:
Medical insurance
Dental insurance
Vision insurance
401(k)
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

Work arrangement
Yes