Remote Eligibility Research Specialist I

American Specialty Health; United States; On-site; USD 42,000 - 62,000; Full time

Job summary

American Specialty Health is seeking a Research Representative for the Eligibility department, with a strong focus on accuracy and customer service. The role supports eligibility verification, research, and data maintenance, often working remotely from a designated home office.

The position emphasizes speed, confidentiality, and collaboration across teams to resolve member inquiries. Candidates should have at least a high school diploma and 1 year of experience with 10-key typing.

Qualifications

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

Responsibilities

• Researches and resolves member eligibility requests with accuracy and speed.
• Eligibility verification from multiple sources and data entry into logs or maintenance systems.
• Provide same-day turnaround for research and respond to providers or members with results.
• Participate in peer mentorship and assist multiple functions as needed.
• Maintain confidentiality and comply with all policies.

Skills

Customer service

10-key typing

Communication

Multitasking

Confidentiality

Education

High School Diploma or GED

Tools

IHIS system

Health plan websites

Job description

American Specialty Health is seeking a Research Representative for the Eligibility department, with a strong focus on accuracy and customer service. The role supports eligibility verification, research, and data maintenance, often working remotely from a designated home office.

The position emphasizes speed, confidentiality, and collaboration across teams to resolve member inquiries. Candidates should have at least a high school diploma and 1 year of experience with 10-key typing.