Remote Eligibility & Benefits Operations Manager

Boomerang Healthcare; Walnut Creek (CA); Remote; USD 87,000 - 104,000; Full time

Benefits offered by this job

Medical, Dental, Vision benefits (PPO,

401(k) Plan with Employer Matching

License & Tuition Reimbursements

Paid Time Off

Holiday Pay & Floating Holiday

Employee Perks and Discount Programs

Job summary

Boomerang Healthcare is seeking a Manager of Eligibility & Benefits to oversee insurance verification, financial clearance, and point-of-service collection activities across specialties. You will standardize workflows, ensure accurate data entry, and drive revenue retention by ensuring timely patient payments.

This remote role requires leadership in a healthcare revenue cycle and expertise with major payer portals, EHR systems, and Excel-driven analyses to minimize denials and optimize

Qualifications

• Minimum 5 years of experience in healthcare revenue cycle, patient access, eligibility, benefits, or related experience.
• Experience with Medicare and commercial insurance plans.
• Strong understanding of deductibles, copays, coinsurance, out-of-pocket maximums, referrals, prior authorization requirement, coordination of benefits.
• 2–3 years of direct supervisory or management experience leading healthcare administrative teams.
• Expert-level understanding of commercial insurance products, including HMO, PPO, and EPO.
• Advanced proficiency in Microsoft Excel (formulas, pivot tables) and other Office applications.
• Experience with enterprise-level EHR platforms (Epic, IMS, eClinicalWorks) and integrated payment collection software.

Responsibilities

• Supervise, train, and schedule eligibility verification and insurance specialist teams.
• Ensure estimated patient financial responsibility is identified prior to service whenever information is available.
• Communicate expected copays, deductibles, coinsurance, and other patient responsibility clearly.
• Establish escalation procedures for high-dollar patient responsibility or benefit limitations.
• Oversee eligibility verification workflows across diverse clinical lines (specialty to high-cost surgery/diagnostics).
• Analyze denial data with billing/coding teams and implement root-cause fixes for eligibility-related denials.
• Serve as primary administrator for major payer portals (Availity, Optum, UnitedHealthcare, Anthem).
• Assume other responsibilities as appropriate.

Skills

Leadership

Process improvement

Payer knowledge

EHR proficiency

Excel skills

Communication

Tools

Epic

IMS

eClinicalWorks

Job description

Boomerang Healthcare is seeking a Manager of Eligibility & Benefits to oversee insurance verification, financial clearance, and point-of-service collection activities across specialties. You will standardize workflows, ensure accurate data entry, and drive revenue retention by ensuring timely patient payments.

This remote role requires leadership in a healthcare revenue cycle and expertise with major payer portals, EHR systems, and Excel-driven analyses to minimize denials and optimize