Remote Eligibility Research Specialist I

Jobvite, Inc.; United States; Remote; USD 42,000 - 56,000; Full time

Job summary

American Specialty Health Incorporated (ASH) is seeking a Research Representative to join our Eligibility department. The primary function is to research and resolve eligibility verification requests in a timely manner.

This remote role requires stable internet and pro-active communication with providers and members. Responsibilities include maintaining production benchmarks, performing eligibility verification, MNA and ASHLink research, and ensuring data accuracy while upholding

Qualifications

• High School Diploma or GED required.
• 1 year experience with 10 key, typing, and computer skills. 8,000 keystrokes per hour required.
• Experience with claims processing or eligibility verification preferred.
• Excellent customer service skills, with experience making outbound calls and meeting productivity/accuracy expectations.

Responsibilities

• Researches and resolves member eligibility requests.
• Maintain a minimum production level and accuracy benchmarks.
• Follows confidentiality guidelines and verifies eligibility from various sources.
• Performs ASHCore, MNA, and eligibility research to meet turnaround times.
• Updates member and group records and communicates results to providers and members.

Skills

10-key typing

Customer service

Claims processing

Eligibility verification

Education

High School Diploma or GED

Job description

American Specialty Health Incorporated (ASH) is seeking a Research Representative to join our Eligibility department. The primary function is to research and resolve eligibility verification requests in a timely manner.

This remote role requires stable internet and pro-active communication with providers and members. Responsibilities include maintaining production benchmarks, performing eligibility verification, MNA and ASHLink research, and ensuring data accuracy while upholding