Eligibility & Benefits Specialist
Oshi HealthOshi Health is
Remote$47,000 - $52,000 per yearMid
Operations & Strategy
About the role
TL;DR
Verify patient insurance eligibility, benefits, and referrals for accurate reimbursement.
- •As an Eligibility & Benefits Specialist, you will be responsible for verifying patient insurance eligibility and benefits, obtaining required referrals, and communicating coverage and financial responsibility to ensure accurate patient access and reimbursement.
- •Key Responsibilities Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services.
- •Obtain referrals from primary care providers and referring physicians.
- •Communicate insurance coverage, patient financial responsibility, and estimated out-of-pocket costs.
- •Resolve eligibility, coverage, referral, and insurance discrepancies.
- •Identify and resolve claim rejections related to eligibility, benefits, coverage, or referral issues.
- •Requirements Bachelor's Degree in Business Administration or relevant course work. 2+ years of healthcare revenue cycle experience with a focus on eligibility, benefits, insurance verification, or patient access.
- •Hands-on experience using payer portals, Availity, and other insurance verification tools.
- •Proficiency with EMR and insurance verification systems.
- •Strong customer service, communication, and interpersonal skills.
Required skills
Revenue OperationsCustomer Service
Nice-to-have skills
Salesforce
Domain expertise
healthtechhealthcare
Benefits & perks
Health insurance, Dental insurance, Vision insurance, Flexible Time Off, Paid holidays, 401(k), Remote work, Professional development, Life Concierge