Eligibility Specialist III

Job Summary

A company is looking for an Eligibility Specialist III.

Key Responsibilities

• Maintain eligibility and billing for assigned accounts, including manual and electronic updates
• Provide escalated customer service and handle complex billing issues, ensuring compliance with regulations
• Train and support less experienced staff while identifying and implementing process improvements

Required Qualifications

• BA/BS degree in accounting, finance, or a business-related field preferred
• Five to seven years of accounting/business experience with knowledge of accounting procedures
• Three years of experience as an Eligibility Specialist I & II or equivalent background preferred
• Expert knowledge of health care eligibility and billing procedures, including relevant legislation
• Advanced experience with Microsoft Office Suite and customer service interactions