Insurance Eligibility

🕒 April 25

🐊 Florida – Remote

🐊 Florida – Remote

💵 $18 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

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GetixHealth

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

☁️ SaaS

🤝 B2B

💰 Private Equity Round - Getix on 2015-01

SaaS • B2B

GetixHealth is a healthcare revenue cycle management company that provides SaaS-based software suites and dedicated services to hospitals, physician groups, and industry partners. Their solutions cover patient access, eligibility and enrollment, workers’ compensation, insurance resolution, coding and chart audits, self-pay billing, and professional RCM services aimed at improving financial performance, productivity, and patient experience. GetixHealth partners with large healthcare systems and providers to automate and integrate revenue cycle workflows and optimize collections and operations.

📋 Description

• Verify patient insurance eligibility and benefits prior to scheduled services. • Confirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimates. • Identify prior authorization requirements and escalate when needed. • Track outstanding insurance claims (Accounts Receivable / AR). • Contact insurance companies by phone, payer portals, or email to check claim status. • Investigate denials, underpayments, rejections, and missing claim information. • Correct claim issues and resubmit claims when necessary. • Document all account activity and insurance updates accurately in the billing system. • Escalate complex or long-pending claims to supervisors or billing leadership. • Collaborate with scheduling, billing, and provider teams to prevent delays and claim denials. • Maintain compliance with HIPAA, payer guidelines, and internal policies. • Meet productivity, quality, and turnaround expectations in a high-volume environment.

🎯 Requirements

• High school diploma or GED required. • Bachelor’s degree preferred. • 2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferred. • Experience with AR follow-up, claims resolution, and payer portals required. • Experience working with Medicare, Medicaid, and commercial insurance plans preferred. • Strong understanding of insurance benefits, authorizations, and denial resolution. • Prior remote work experience preferred. • Strong verbal and written communication skills. • Proficiency in Microsoft Office and healthcare systems. • Experience with EHR systems and billing platforms preferred. • Must be able to type a minimum of 35 words per minute (WPM) with no more than 3 errors.

🏖️ Benefits

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D. • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service. • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment. • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.