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Eligibility Specialist

Company: VirtualVocations
Location: Santa Clara
Posted on: September 20, 2024

Job Description:

A company is looking for an Eligibility Specialist I to manage and scale their insurance offering.



Key Responsibilities:

Verify member eligibility and insurance coverage across multiple payer plans
Resolve eligibility inquiries and maintain accurate data in information systems
Collaborate with billing and engineering teams to improve eligibility verification processes


Required Qualifications:

1-3 years of experience in medical billing and patient services
Knowledge of EDI 270/271 transactions and insurance eligibility verification
Experience working with insurance companies in the healthcare provider industry
Proficient in advanced Excel functions, including formulas and pivot tables
Understanding of HIPAA policies and regulations

Keywords: VirtualVocations, Santa Clara , Eligibility Specialist, Other , Santa Clara, California

Click here to apply!

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