RemoteLeaf Logo
Log in Sign up

Eligibility and Benefits Specialist

4 hours, 45 minutes ago
United States
Full-time
Junior
Operations Specialist
Operations
HIPAA Salesforce
Apply Now
Oshi Health

Oshi Health

Oshi Health is revolutionizing the management and treatment of digestive health conditions through a patient-centered and value-based care delivery model. They provide fast and convenient access to an integrated, multidisciplinary care team, along with...

Health Care Providers & Services
51-250
Founded 2018
$60M raised
View All Jobs 4

Description

  • Verify patient insurance eligibility, benefits, authorization requirements, and referral needs before services are provided.
  • Obtain and track referrals from primary care providers and referring physicians, following up to ensure they remain valid.
  • Document insurance coverage, benefit details, referrals, and eligibility information accurately in internal systems.
  • Communicate coverage details, patient financial responsibility, estimated out-of-pocket costs, and billing information to patients in a clear and empathetic way.
  • Research and resolve eligibility, coverage, referral, and insurance discrepancies that may affect patient care or reimbursement.
  • Monitor verification queues, insurance changes, pending requests, and coverage updates to ensure timely resolution.
  • Identify and resolve claim rejections related to eligibility, benefits, coverage, or referral issues.
  • Collaborate with Billing, Accounts Receivable, Clinical Operations, and other cross-functional teams to improve access, billing accuracy, and reimbursement.
  • Analyze verification data to identify trends, root causes, and opportunities for process improvement.
  • Monitor and report on eligibility, referral, and verification metrics to support operational performance and continuous improvement.
  • Ensure compliance with organizational policies, payer requirements, HIPAA, and healthcare billing and eligibility regulations.

Requirements

  • Bachelor's degree in Business Administration or relevant coursework.
  • 2+ years of healthcare revenue cycle experience focused on eligibility, benefits, insurance verification, or patient access.
  • Experience verifying insurance eligibility, benefits, authorizations, and referrals across multiple commercial and government payers.
  • Hands-on experience using payer portals, Availity, and other insurance verification tools, including phone verification.
  • Experience working successfully in a remote environment and managing priorities independently.
  • Proficiency with EMR and insurance verification systems.
  • Strong customer service, communication, and interpersonal skills.
  • Strong organizational, analytical, and problem-solving skills with exceptional attention to detail.
  • Proficiency with Google Workspace (Sheets, Docs, Gmail) and the ability to quickly learn new systems and technology.
  • Preferred: experience in a startup or high-growth healthcare organization, telehealth or virtual care, revenue cycle workflows, Athenahealth, Apero, Salesforce, operational metrics, or a CRCR/other healthcare revenue cycle certification.

Benefits

  • Salary range of $47,000 to $52,000 per year plus bonus eligibility.
  • Employer-sponsored medical, dental, and vision coverage.
  • Unlimited PTO plus 11 paid company holidays.
  • Eligibility to contribute to a 401(k).
  • Remote-first work from home within approved states.
  • Tailored professional development opportunities as the company scales.
  • Access to Overalls life concierge support.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Latitude AI

Triage Associate I (Contractor)

Latitude AI 501-1000 information technology & services

Latitude AI is hiring a Triage Operations team member to review and classify vehicle test data for its automated driving programs and help improve Ford’s advanced driver-assist systems at scale.

United States Contract Entry Level Manual QA Tester Operations Specialist
$53k-$80k
JIRA Looker Machine Learning Superset
4 hours, 15 minutes ago
ISC: Integrated Specialty Coverages

Senior Claims Specialist

ISC: Integrated Specialty Coverages 51-250 Insurance

Integrated Specialty Coverages’ Golden State Claims Services is hiring a Senior Claim Specialist to handle complex construction defect claims and manage the associated coverage, litigation, and settlement work.

United States Full-time Senior Operations Specialist
$83k-$104k
4 hours, 15 minutes ago
Fanatics

Programmatic Trading Lead, Ad Operations

Fanatics 5K-10K Leisure Products

Fanatics Advertising is hiring a Programmatic Trading Lead to own and grow its managed-service programmatic practice across display, online video, and CTV campaigns.

United States Full-time Senior Operations Specialist Paid Media Specialist
$110k-$150k
Looker Tableau
4 hours, 15 minutes ago
IonQ

International Logistics Specialist

IonQ 51-250 Internet Software & Services

IonQ is seeking an International Logistics Specialist to support global import, export, and trade compliance operations for a high-tech quantum computing company.

United States Full-time Entry Level Compliance Manager Operations Specialist
$64k-$96k
4 hours, 30 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers