Eligibility Representative
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
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
