Eligibility Specialist (Contract)

Midi Health; San Francisco (CA); On-site; USD 22,730 - 32,373; Part time

Job summary

Midi Health is seeking an Eligibility Specialist to join the Revenue Cycle team in San Francisco, CA. In this contract role, you will verify patient insurance coverage and facilitate a smooth billing process, ensuring patients understand their financial responsibilities.

The ideal candidate has at least 2 years of experience in insurance verification and is proficient in systems like AthenaHealth. This role emphasizes accuracy, communication, and problem-solving abilities to enhance patient satisfaction and operational excellence.

Qualifications

• Minimum of 2 years of experience in medical billing or insurance verification.
• Proficient with AthenaHealth or other eligibility verification systems.
• Eligibility experience with major commercial plans in a telehealth model.

Responsibilities

• Verify patient insurance coverage and benefits accurately.
• Obtain pre‑authorizations for services when required.
• Track and document insurance verification outcomes for compliance.

Skills

Medical billing

Insurance verification

Communication skills

Problem-solving abilities

Attention to detail

Tools

AthenaHealth

Job description

Eligibility Specialist (Contract) @ Midi Health

Overview

We are seeking a dedicated Eligibility Specialist (contract) to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage and ensuring eligibility for services, while also maintaining a smooth billing process. You will play a critical role in ensuring patients understand their coverage and financial responsibility before services are rendered by our clinicians.

Business Impact

• Accurately verify patient insurance coverage, benefits, and eligibility using systems like AthenaHealth and payer portals.
• Obtain and track pre‑authorizations for services when required by the payer.
• Identify primary and secondary insurance coverage to ensure proper coordination of benefits and avoid future claim denials.
• Maintain accurate and up‑to‑date documentation of insurance verification outcomes in the system, ensuring billing compliance.
• Collaborate with billing specialists and patients to resolve eligibility‑related issues, claim holds, or denials.
• In collaboration with Operations team, maintain proprietary insurance‑provider mapping database to ensure billing compliance.
• Notify patients of any discrepancies in coverage or issues with their insurance eligibility, providing clear guidance and options.
• Ensure patient insurance information is correctly recorded and maintained for accurate billing and reimbursement.
• Conduct follow‑up on pending insurance verifications to prevent delays in billing or service delivery.
• Use AthenaHealth, payer portals and other tools efficiently to confirm patient eligibility and verify coverage before appointments.

What You Will Need to Succeed

• Minimum of 2 years of experience in medical billing, front office, insurance verification, or eligibility‑related roles.
• Proficient with AthenaHealth or another EHR, insurance payer portals and other eligibility verification systems.
• Eligibility experience with major commercial plans across multiple states in a telehealth model.
• Strong verbal and written communication skills, with the ability to explain complex insurance details to patients and internal team members.
• Proven ability to investigate, resolve, and prevent issues related to insurance verification and eligibility.
• High degree of accuracy in verifying patient data and maintaining records.
• Ability to thrive in a fast‑paced, growing environment while maintaining a focus on patient satisfaction and operational excellence.

Who You Are

You are an organized and detail‑oriented professional with a deep understanding of insurance policies and coverage verification. Your strong communication skills and problem‑solving abilities allow you to de‑escalate patient concerns and resolve insurance issues effectively. You are adaptable, proactive, and capable of managing multiple tasks while ensuring the accuracy and integrity of patient information. Your focus on teamwork and patient care makes you a key player in ensuring the revenue cycle runs smoothly and efficiently.

Pay and Benefits

Pay: $20 per hour.

• This is a 1099 independent contractor opportunity and does not include company benefits.

Visa sponsorship is not available. All candidates must be authorized to work in the United States without current or future sponsorship needs. Official communication will come from a @joinmidi.com email address; the company will never ask for payment during the application or hiring process.

Equal Opportunity Employer

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

CCPA Privacy Notice for California candidates is available on request.