Eligibility Specialist

To support a growing practice, the full-time remote Eligibility Specialist will manage patient insurance eligibility, update copay information, and ensure proper authorization for appointments. Key responsibilities: Review clinic schedules and verify patient insurance eligibility 48 hours prior to appointments Update copay information in the EMR system and communicate necessary details to front desk staff Monitor eligibility issues and assist Patient Access Coordinators with resolving insurance-related problems Required qualifications: Comprehensive understanding of the insurance claim process and patient billing Experience with electronic medical record (EMR) systems and practice management software Ability to maintain confidentiality and comply with HIPAA regulations Knowledge of third-party billing and reimbursement practices Experience in a healthcare setting, particularly in patient access or eligibility verification roles