Insurance Eligibility, Benefits & Denial Analysis Specialist | 6+ Years U.S. Hea

Overview

Looking for full-time work (8 hours/day)

at $4.75/hour ($909.09/month)

Associates degree

Last Active

June 10th, 2026 (2 days ago)

Member Since

May 1st, 2024

Profile Description

Insurance Eligibility & Benefits Specialist | U.S. Healthcare Operations | 6+ Years Remote Experience

I am an Insurance Eligibility & Benefits Specialist with 6+ years of proven experience verifying patient insurance coverage and benefits for U.S. healthcare providers. I maintain a 100% quality score across every role and have deep expertise in:

Core Competencies:
Insurance Eligibility & Benefits Verification (DME, telehealth, Medicare Advantage)
Prior Authorization & Reauthorization Processing
Claims Processing & Denial Prevention
EOB/COB Interpretation & Resolution
High-volume inbound/outbound call handling (40–50+ daily contacts)
Medicare Advantage & Part D expertise
ICD-10, CPT, HCPCS coding application

Systems & Tools:
Brightree, Availity, Salesforce CRM
Insurance payer portals & EMR/EHR systems
Avaya & Genesys phone systems

Why I'm Effective:
Sustained 100% same-day documentation accuracy across 30+ daily patient cases
Reduced prior authorization turnaround from 7 days to 2 days
Prevented eligibility-related denials through proactive identification of coverage gaps
Acting Team Lead experience coaching 12–15 person teams
HIPAA Certified, full remote work capability, EST availability

I'm seeking: Full-time insurance eligibility or medical administrative roles with U.S. healthcare companies. Remote-ready, flexible with scheduling, committed to quality and accuracy.