Eligibility Specialist (Contract)

Midi; United States; À distance; USD 22 730 - 32 373; Temps partiel

Résumé du poste

Midi is seeking an Eligibility Specialist to join their Revenue Cycle team. This contract role focuses on verifying patient insurance coverage, ensuring eligibility before services, and maintaining billing compliance. The ideal candidate will have a strong background in medical billing with proficiency in AthenaHealth and effective communication skills.

This position is a 1099 independent contractor opportunity offering $20 per hour without company benefits. Strong organizational capabilities and a commitment to patient satisfaction are essential for success in this role.

Qualifications

• Minimum of 2 years of experience in medical billing, front office, insurance verification, or eligibility-related roles.
• Proficient with AthenaHealth or another EHR and insurance payer portals.
• Eligibility experience with major commercial plans across multiple states.

Responsabilités

• Verify patient insurance coverage and eligibility using systems.
• Obtain and track pre-authorizations for services.
• Maintain documentation of insurance verification outcomes.

Connaissances

Medical billing experience

Eligibility verification skills

Strong communication skills

Attention to detail

Outils

AthenaHealth

Payer portals

Zendesk

Description du poste

Eligibility Specialist (Contract) @ Midi Health

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. This role requires strong attention to detail, exceptional communication skills, and experience with systems such as AthenaHealth, payer portals, and Zendesk.

Business impact

• Accurately verify patient insurance coverage, benefits, and eligibility using systems such as 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

$20 per hour

Please note this is a 1099 independent contractor opportunity and does not include company benefits.

At this time, Midi is unable to provide visa sponsorship. All candidates must be authorized to work in the United States without current or future sponsorship needs.

Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [e-mail].

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.

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