Medical Eligibility Specialist ~ 100 Openings!CornerStone Staffing • Dallas, TX, US
No longer accepting applications
Medical Eligibility Specialist ~ 100 Openings!
CornerStone Staffing • Dallas, TX, US
1 day ago
Job type
- Full-time
Job descriptionCertificate in medical billing and coding Experience in medical collections or reimbursement support Knowledge of HIPAA, patient assistance programs (PAP), and appeals workflows $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 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 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 Microsoft Excel, Outlook, Word Insurance portals and EMR systems Document and case management platforms Phone systems and CRM / call tracking
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
COMPENSATION & SCHEDULE
ROLE IMPACT
KEY RESPONSIBILITIES
CORE TOOLS & SYSTEMS
LEGAL NOTICE
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Eligibility Specialist • Dallas, TX, US
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