Patient Access & Eligibility Specialist

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $15 - $17 / hour

⏳ Contract/Temporary

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Alopex

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2014

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

<Alopex> Alopex is a cloud-hosted healthcare SaaS platform that provides remote care management, care coordination, and case management services across clinical programs such as chronic care management, transitional care, behavioral health integration, remote patient monitoring, and remote therapeutic monitoring. The company partners with physician practices, ACOs, health systems, skilled nursing/LTC, RHCs/FQHCs, Medicare Advantage plans and PACE programs to deliver licensed clinical teams, seamless EMR integrations, and outcomes-focused population health services that address social determinants of health and reduce readmissions. Named a Top Cloud-Hosted Healthcare SaaS Platform for 2025, Alopex emphasizes rapid deployment, flexible contracting, compliance, and measurable clinical outcomes.

📋 Description

• Answer incoming patient calls and provide professional, courteous assistance • Respond to patient inquiries about care management programs and services • Review voicemails and route calls to the appropriate team member or department • Coordinate call routing to Care Coordinators, Enrollment Specialists, or other staff based on patient needs • Handle patient messages promptly and accurately • Document patient communications within the care management platform • Maintain HIPAA and patient privacy compliance • Verify patient insurance coverage and eligibility for care management programs • Confirm payer requirements for CCM, RPM, and other services • Review patient benefits, coverage status, and eligibility criteria • Identify patients eligible for enrollment in care management programs • Document eligibility verification results • Prepare eligible patient lists for the Enrollment team • Flag qualifying patients for outreach and enrollment • Ensure patient demographic and insurance data is accurate • Communicate eligibility findings with Enrollment Specialists • Assist with administrative preparation for enrollment processes • Maintain patient demographic and insurance information in the care management platform • Update patient records and support administrative workflows • Ensure documentation is accurate, complete, and compliant • Support internal teams with patient information verification and administrative tasks • Navigate EMR, care management, and telephony systems • Enter patient information accurately • Resolve minor data discrepancies and escalate system issues when necessary

🎯 Requirements

• 1–3 years of experience in healthcare administration, patient access, insurance verification, or care coordination support • Experience verifying health insurance eligibility and benefits • Familiarity with Chronic Care Management (CCM), Remote Patient Monitoring (RPM), or population health programs preferred • Experience working with electronic medical record (EMR) systems • Strong technical proficiency and ability to learn new healthcare platforms quickly • Experience handling patient phone calls in a professional healthcare environment • Excellent verbal communication and patient engagement skills • Strong organizational and time management abilities • High attention to detail and documentation accuracy • Reliable and stable Internet • A quiet and professional work environment suitable for speaking with patients about sensitive information and Protected Health Information (PHI), free of distractions • Availability Monday through Friday between 8 a.m. and 6 p.m. EST • Familiarity with HIPAA Privacy and Security requirements • Ability to use EMR/EHR systems, telephony systems, care management platforms, Microsoft Teams, and Outlook

🏖️ Benefits

• Remote work • Work Monday-Friday according to the business hours of client practices

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