Insurance Eligibility Specialist

Schedule:
Training: Monday–Friday, minimum 4 weeks (shadowing included)
Post-training schedule: Tuesday–Saturday or Sunday–Thursday
Description
Key Responsibilities
Manage inbound insurance tickets across members and providers
Handle provider inquiries such as:
Accepted insurance plans
Client volume questions
Status with payors
Handle customer inquiries such as:
Insurance discrepancies
Adding insurance
Complex billing, bug-related, or investigative issues
Communicate primarily via email, with some phone support
Progression of responsibilities:
Start with email-based support
Gradually increase complexity of tickets
Transition into phone support once comfortable (limited support)
The team is handling 250-300 email/tickets a day. Expecting it to increase.
Additional Skills & Qualifications
2+ year of healthcare experience
Experience working with health plans
Knowledge of: Billing, EOBs, Deductibles, copays, coinsurance

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