Eligibility Interviewer, Government Programs

Job Description

We are seeking an Eligibility Interviewer to enhance our provider relations team. In this position, you will be responsible for managing enrollment applications, resolving provider issues, and ensuring accurate record-keeping. Excellent communication skills and familiarity with healthcare regulations are crucial.

Responsibilities

• Assist healthcare providers with completing enrollment forms.
• Verify credentials and supporting documentation for accuracy.
• Serve as a point of contact for providers regarding enrollment-related inquiries.
• Conduct regular audits on provider records for compliance.
• Facilitate communication between providers and insurance companies.
• Report any discrepancies or issues to management promptly.

Requirements

Education

• Bachelor's degree in business administration or a related field

Experience

• Minimum of 2 years experience in a related field, especially healthcare

Technical Skills

• Regulatory Knowledge
• Documentation Management

Soft Skills

• Problem-solving
• Team Collaboration

Certifications

• Healthcare Compliance Certification

Languages

• English: Fluent

Advantageous

• Experience in customer service within healthcare: Familiarity with enrollment-related customer service functions.
• Previous experience in medical billing and coding: Knowledge of medical billing practices is a plus.

Benefits

• Comprehensive health insurance coverage
• 401(k) plan with generous company match
• Remote work flexibility
• Employee wellness programs

Company Culture

• Innovation: We encourage fresh ideas and innovative practices within our teams.
• Growth Opportunities: There are numerous opportunities for professional growth and skill development.
• Supportive Environment: Our work culture emphasizes support and mentorship for all employees.