Job Description

Overview:

BroadPath is hiring an Eligibility Representative to work from home! The Eligibility Representative is responsible for maintaining accurate enrollment records based on requests from internal and external stakeholders. This is a fast-paced, high-volume role requiring strong written and verbal communication skills and a high level of confidentiality.

Note: This is not a phone-based position

Responsibilities:

• Maintain and update enrollment records received electronically to support claim processing and service requests, in line with daily production standards and operational policies
• Serve as a liaison between internal teams and health plan representatives to resolve eligibility issues and maintain strong working relationships
• Complete assigned eligibility reports and ensure records are updated accurately and efficiently
• Perform accurate and timely data entry in EPIC / IDX systems based on established guidelines
• Process electronic eligibility verification requests from both internal and external sources
• Follow up with Healthcare Plans via phone to resolve outstanding eligibility concerns
• Analyze payor eligibility responses to identify and extract required verification information
• Adhere to HIPAA, compliance, privacy, and confidentiality standards at all times
• Perform additional enrollment updates and related tasks as assigned

Qualifications:

• High School Diploma or equivalent
• Minimum 1-year medical claims processing experience required
• Health plan experience required
• Medical claims adjudication experience required
  

Systems Experience Required: EPIC experience required

Diversity Statement:

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!  

 

Equal Employment Opportunity/Disability/Veterans  

If you need accommodation due to a disability, please email us at  HR@Broad-path.com . This information will be held in confidence and used only to determine an appropriate accommodation for the application process  

 

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.  

 

Compensation:   BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.  

Job Tags

Temporary work,

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