Medical Eligibility Specialist ~ 100 Openings!

Medical Eligibility Specialist ~ 100 Openings! Remote-US (MUST Reside Within 60 Miles of Dallas / Fort Worth) REQUIRED QUALIFICATIONS

• High school diploma or GED required
• 1+ years' experience in specialty pharmacy, medical insurance, or healthcare setting
• Working knowledge of medical and pharmacy benefits, copay structures, and prior authorizations
• Familiarity with commercial and government payer systems preferred
• Strong communication, documentation, and negotiation skills PREFERRED SKILLS
• Certificate in medical billing and coding
• Experience in medical collections or reimbursement support
• Knowledge of HIPAA, patient assistance programs (PAP), and appeals workflows COMPENSATION & SCHEDULE $18 / hr Schedule : Must be flexible Monday–Friday between 7AM to 7PM CST W2, Seasonal Project Start Date : 12 / 2 / 2025 End Date : Estimated thru 3 / 2026 Job ID : 152653 ROLE IMPACT Link between patients, providers, and insurance companies, helping patients access critical medications and devices Securing prior authorizations and validating benefits, your work supports timely treatment for conditions that are often life-threatening, rare, or costly Leverage strong communication, documentation, and problem-solving skills to support billing teams and ensure insurance compliance KEY RESPONSIBILITIES
• Conduct outbound calls to payers and gather missing insurance data for benefit investigations
• Submit and track prior authorizations, ensuring complete and timely insurer documentation
• Assist provider offices and patients with insurance forms and program applications
• Maintain ongoing communication with payers, pharmacies, and provider representatives
• Report reimbursement delays or trends and escalate issues when necessary
• Coordinate with internal departments and document all case activity accurately
• Address customer inquiries and resolve service requests with urgency and accuracy
• Ensure all prior authorization materials meet compliance, including NPI, referrals, and patient demographics
• Identify and report adverse events (AEs) per SOP and training standards CORE TOOLS & SYSTEMS
• Microsoft Excel, Outlook, Word
• Insurance portals and EMR systems
• Document and case management platforms
• Phone systems and CRM / call tracking LEGAL NOTICE By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at : https : / / www.cornerstonestaffing.com / privacy #ARLINGTON123