Healthcare Insurance Eligibility and Benefits Specialist

Job not on LinkedIn

🔥 12 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Vee Technologies

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2000

Consulting • Healthcare • IT Services

Vee Technologies is a premier consulting and professional services company headquartered in New York and Bangalore, providing cutting-edge, technology-enabled solutions to organizations worldwide. The company specializes in Strategy & Consulting Services, Healthcare, Product Engineering, AEC Services & Solutions, IT Services, Logistics, Media, Finance & Accounting Services, Legal Process Outsourcing, and E-Governance. Vee Technologies serves businesses ranging from Fortune 500 companies to mid-size enterprises, helping them streamline operations, reduce costs, and achieve business objectives efficiently. With a strong emphasis on accuracy, competency, and teamwork, Vee Technologies focuses on delivering extraordinary outcomes across various industries.

📋 Description

• Verify patient insurance coverage through payer websites, clearinghouses, and direct communication with insurance representatives • Confirm eligibility, benefits, coverage limitations, copayments, coinsurance, deductibles, and out-of-pocket responsibilities • Identify primary, secondary, and tertiary insurance coverage • Review policy effective dates and ensure insurance information is current and accurate • Determine coverage for scheduled procedures, treatments, diagnostic services, and specialty care • Verify benefit limitations, exclusions, medical necessity requirements, and referral requirements • Communicate benefit information to patients, providers, and internal teams • Accurately document eligibility and benefits verification findings within practice management or electronic health record (EHR) systems • Maintain detailed records of payer contacts, reference numbers, and verification outcomes • Ensure compliance with HIPAA, organizational policies, and payer guidelines • Collaborate with scheduling, registration, billing, and coding teams to prevent claim denials related to eligibility issues

🎯 Requirements

• High school diploma or equivalent • Minimum 1–3 years of healthcare insurance verification, eligibility, benefits investigation, patient access, or revenue cycle experience • Knowledge of commercial insurance, Medicare, Medicaid, Managed Care, and government healthcare programs • Understanding of insurance terminology, including deductibles, copayments, coinsurance, referrals, and prior authorizations • Proficiency with payer portals, clearinghouse tools, EHR systems, and Microsoft Office applications • Preferred Associate's or Bachelor's degree in Healthcare Administration, Business, or related field • Certification in healthcare revenue cycle, patient access, or medical office administration • Experience in specialty healthcare services, hospital, physician practice, or ambulatory care settings

🏖️ Benefits

• medical/dental/vision benefits first of the month following date of hire • 401k benefits • paid holidays • PTO/personal time