Eligibility Representative

Job Summary

A company is looking for an Eligibility Representative to work from home.

Key Responsibilities

• Maintain and update enrollment records to support claim processing and service requests
• Serve as a liaison between internal teams and health plan representatives to resolve eligibility issues
• Perform accurate data entry in EPIC / IDX systems and process electronic eligibility verification requests

Required Qualifications

• High School Diploma or equivalent
• Minimum 1-year medical claims processing experience
• Health plan experience required
• Medical claims adjudication experience required
• EPIC experience required