Insurance Eligibility and Benefit Specialists
2 days ago
We're looking for
one to two experienced Insurance Eligibility & Benefits Specialists
to support a busy healthcare practice by ensuring patients are financially cleared before their visits. This role is all about accuracy, speed, and knowing insurance inside and out.
You'll handle eligibility verification, benefits review, and precise patient responsibility calculations using
eClinicalWorks (eCW)
. If you're the type who catches discrepancies before they turn into billing chaos—this one's for you.
Key Responsibilities
- Verify patient insurance eligibility and review benefit details across commercial and government payers
- Accurately calculate and document patient financial responsibility, including deductibles, copays, coinsurance, and out-of-pocket maximums
- Enter, update, and maintain insurance and benefits data in eClinicalWorks (eCW)
- Communicate with insurance carriers via payer portals and phone calls to clarify coverage questions
- Identify and resolve eligibility or benefits issues prior to patient visits
- Collaborate with billing and front-office teams to support clean claims and accurate patient billing
- Assist with additional revenue cycle tasks as needed, including A/R support when applicable
Qualifications
- Hands-on experience with eClinicalWorks (eCW)
- Proven background in insurance eligibility verification and benefits review in a U.S. healthcare setting
- Strong ability to calculate patient financial responsibility accurately
- Solid understanding of insurance terminology, payer rules, and payer portals
- Experience working with Arizona insurance plans
- Prior medical billing or accounts receivable (A/R) experience
- Interest in cross-training within revenue cycle functions
- Exceptional attention to detail with strong problem-solving skills
Benefits
- Permanent Work From Home
- Leave Credits
- Monetary Allowance
- Annual Bonus
- Weekly Paychecks
- Fixed Weekends Off
- Thriving Company Culture with Complete Autonomy
- Exclusive Specialized Training Programs
- Unlock Your Potential with a Highly Competitive Salary
____________________________________________________________________
Who are we?
MedCore Solutions is the healthcare division of BizForce, dedicated to supporting U.S.-based healthcare clients through a skilled remote workforce in the Philippines. We specialize in connecting top clinical and administrative talent with reputable healthcare organizations, ensuring high-quality care delivery while providing rewarding work-from-home careers.
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