Remote Eligibility & Billing Specialist

Optim; Oregon; Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Competitive Pay

Company Benefits

Paid Time Off

Holiday Pay

401K Plan

Job summary

Optim Orthopedics is seeking a full-time Eligibility Specialist (Remote) to verify insurance coverage and benefits 48 hours prior to patient appointments. The role includes updating copay details in Athena and documenting notes in the patient account for the front desk.

You will monitor the EMR eligibility bucket, confirm authorizations, and assist in payment plan setup as needed, while maintaining HIPAA-compliant, accurate records.

Qualifications

• Experience handling insurance claims processing and eligibility checks.
• Proficient use of EMR and Practice Management Systems.
• Knowledge of HIPAA and patient confidentiality requirements.
• Accurate data entry and meticulous record keeping.

Responsibilities

• Review schedules 48 hours before appointments and verify insurance eligibility.
• Update copay information in Athena and annotate patient accounts.
• Monitor EMR eligibility bucket for upcoming visits and ensure authorizations are attached.
• Assist in setting up payment plans and escalate billing issues when needed.
• Identify trends or denial issues and recommend resolutions.

Skills

Insurance claims

EMR systems

HIPAA compliance

Data entry accuracy

Verbal communication

Documentation

Tools

Athena EMR

Practice Management System

Job description

Optim Orthopedics is seeking a full-time Eligibility Specialist (Remote) to verify insurance coverage and benefits 48 hours prior to patient appointments. The role includes updating copay details in Athena and documenting notes in the patient account for the front desk.

You will monitor the EMR eligibility bucket, confirm authorizations, and assist in payment plan setup as needed, while maintaining HIPAA-compliant, accurate records.