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BroadPath – Eligibility Representative – 100% Remote

Job Description

Grow with a company that is passionate about helping you maximize your full potential! Become a part of transforming customer and client experience through the utilization of our innovative work from home technology. At BroadPath we believe in assuming the highest intention for others, our employees are empowered through their voices which helps us to continue shaping the emerging future, bringing innovation, and flexibility to the Work from Home Industry. Eligibility Representatives will accurately maintain enrollment records based on daily requests received from the various internal and external stakeholders. This is a fast-paced, high-volume role. The candidate should possess professional communication skills, written and verbally, and maintain a high level of confidentiality.

Responsibilities

  • Responsible for the accurate update and maintenance of enrollment records received electronically to facilitate the processing of claims and other service requests, in accordance with operational policies and daily production standards
  • Maintain professional relations with HMO representatives, acting as a liaison between B&T and the HMO in resolving eligibility issues
  • Process assigned eligibility reports to completion, accurately updating and maintaining enrollment records, in accordance with operational policies and procedures
  • Ensures accurate and timely data entry into the IDX system for each patient, according to established standards
  • Process electronic verification requests from internal and external stakeholders
  • Call and follow up with Healthcare Plans to resolve eligibility issues
  • Properly analyzes various payor eligibility responses to find the information needed to complete verifications
  • Follows all HIPAA, compliance, privacy, and confidentiality standards
  • Updates and maintains enrollment records of members
  • Performs other duties as assigned

Basic Qualifications

  • High school graduate or an equivalent required
  • IDX experience required
  • Claims experience required
  • Adjudication experience required

Preferred Qualifications

  • 1-2 years of work in Healthcare, preferred
  • 1-2 years customer services, preferred

Our Eligibility Representative will receive the following benefits: 

  • Access to BroadPath’s Limited Medical Plan starting first of the month after 60 days of employment. After one (1) year of full-time employment, you will receive access to our Major Medical Plan and 401k
  • Bhive kit; includes a web camera that allows you to join our Connected Culture!
  • Employee Referral Bonus Program (Uncapped)
  • Weekly Pay
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