Eligibility Specialist

📋 Description

• The Eligibility Specialist manages the patient eligibility process from documentation review
• Review patient records, clinical documentation, and administrative information to determine
• Request, collect, organize, and track medical records from external providers while maintaining
• Communicate with patients, clinicians, and external providers throughout the eligibility process.
• Keep patients informed about eligibility status, required documentation, and next steps for
• Maintain EMR records and ensure required information is complete.

🎯 Requirements

• Active Medical Assistant Certification (CMA, RMA, or CCMA) required.
• Minimum of 1 year reviewing/collecting medical records or in a healthcare admin role.
• At least 1 year in a primary care, endocrinology, urgent care, or similar setting.
• Experience with EMR systems and healthcare documentation processes.
• Working knowledge of HIPAA regulations and privacy standards.
• Strong written and verbal communication with patients, providers, and internal teams.

🎁 Benefits

• Competitive salary range of $44,000 - $52,000 USD annually.
• Equity opportunities within a high-growth healthcare organization.
• Comprehensive health benefits, including medical, dental, and vision.
• 401(k) retirement program.
• Flexible work schedules and paid time off.
• Paid parental leave.