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Insurance Eligibility Specialist

2 months ago


Franklin, Tennessee, United States Pyramid Consulting, Inc Full time

We are currently seeking a skilled Insurance Eligibility Specialist to join our team. This position offers a contract opportunity with potential for long-term engagement. The role is primarily remote, allowing for flexibility while ensuring that candidates are available for occasional onsite requirements.

Compensation: $19.50/hour. Employee benefits may include health insurance (medical, dental, vision), a 401(k) plan, and paid sick leave, contingent on work location.

Training Details: Training will be conducted virtually, with a schedule of 8:30 AM - 5 PM EST during the training period, transitioning to a flexible schedule based on operational needs. The training consists of 4 weeks of classroom instruction followed by 2 weeks of hands-on training.

Key Responsibilities:

  • Handle inbound and outbound calls related to insurance eligibility, prior authorizations, and copayment inquiries.
  • Provide straightforward administrative support in managing eligibility for benefits.
  • Maintain and update eligibility data through automated systems and manual processes.
  • Collaborate with internal teams and external clients to resolve discrepancies and improve processes.
  • Generate reports to identify and address issues in eligibility data.
  • Assist clients with technical support related to electronic eligibility processing.
  • Ensure accurate and timely installation of customer data.
  • Interact with various systems to troubleshoot and resolve technical problems.
  • Adhere to established procedures while working under close supervision.

Qualifications:

  • Proficient in computer usage and technology.
  • Strong customer service skills, particularly over the phone.
  • Availability to work Monday through Friday with minimal absenteeism.
  • Prior experience in customer service is preferred but not mandatory.
  • High School Diploma or equivalent is required.
  • Ability to troubleshoot technical issues is advantageous.

Join our reputable organization, Pyramid Consulting, Inc., a leader in the healthcare insurance sector, as we look to fill this and other similar contract roles. We are committed to providing equal employment opportunities and fostering a diverse workplace.