Job Description
The Insurance Eligibility Specialist plays a critical role in supporting both members and providers by managing insurance-related inquiries and ensuring accurate coverage information. This role operates in a high-volume environment and requires strong attention to detail, problem-solving skills, and clear communication.
Key Responsibilities:
+ Manage a high volume of inbound insurance-related tickets from members and providers
+ Respond to inquiries primarily via email, with some phone support as responsibilities expand
+ Assist providers with questions related to:
+ Accepted insurance plans
+ Client volume and capacity
+ Payor status and credentialing updates
+ Support members with inquiries including:
+ Insurance discrepancies and coverage issues
+ Adding or updating insurance information
+ Complex billing, technical, or investigative concerns
+ Troubleshoot and resolve e...
Key Responsibilities:
+ Manage a high volume of inbound insurance-related tickets from members and providers
+ Respond to inquiries primarily via email, with some phone support as responsibilities expand
+ Assist providers with questions related to:
+ Accepted insurance plans
+ Client volume and capacity
+ Payor status and credentialing updates
+ Support members with inquiries including:
+ Insurance discrepancies and coverage issues
+ Adding or updating insurance information
+ Complex billing, technical, or investigative concerns
+ Troubleshoot and resolve e...