Eligibility Support

About Us

All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. We offer a flexible remote-work environment and schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time.

Job purpose

Responsible to process all eligibility files and provide excellent customer service with quality. Supports and collaborates with Eligibility Department to complete all duties and responsibilities required with a caring and collaborative spirit.

Duties and responsibilities

· Process, maintain and reconcile eligibility datasets

· Communicate with health insurance providers via phone and/or via web portals to validate member eligibility.

· Provides excellent service to the patients and clients you serve.

· Supports department/manager to perform any other duties upon request.

· Assist other departments/projects as needed.

Qualifications

· 3+ years’ Experience processing enrollment files

· 2+ years’ Experience with all Customer Service calls related to the Healthcare Industry

· Authorization and Claim processing understanding

· EZ-Cap experience preferred

· Must be able to work Pacific Standard Time 8 - 5 PM.

· Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe

· Detail oriented and highly organized

· Strong ability to multi-task, project management, and work in a fast-paced environment

· Strong ability in problem-solving

· Ability to self-manage, strong time management skills

· Ability to work in an extremely confidential environment

· Strong written and verbal communication skills

Working conditions

· This job may require flexible work hours due to the nature of the responsibilities.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Do you have experience using EZ-Cap?

Experience:

• Customer service: 2 years (Preferred)
• processing enrollment files: 3 years (Preferred)

Work Location: Remote