California Licensed Eligibility Specialist

A company is looking for an Eligibility Specialist III.

Key Responsibilities

Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy

Provide customer service and support for enrollment and billing inquiries, resolving issues as they arise

Produce reports and perform reconciliations for audit purposes and to address discrepancies

Required Qualifications

BA / BS degree in accounting, finance, or a related field preferred, with 5-7 years of relevant experience

Four years of experience as an Eligibility Specialist I & II or equivalent background preferred

Expert knowledge of health care eligibility, billing procedures, and relevant legislation

Advanced computer skills in Microsoft Office Suite

Ability to work overtime as needed and maintain a HIPAA-compliant workstation