About UsOur culture is based on connection, and that fuels our outstanding performance. At BroadPath, we maintain and nourish a commitment to home-based talent and innovative workforce technology that enables us to deliver unrivaled quality, flexibility, and transparency. We believe in meeting our associates where they are, be it in geography or career development. Our proprietary platform visually connects the members of each home-based client team, fully unleashing the skills and motivation of the industry’s best workforce and enabling our associates to reach their full potential. BroadPath is where connection happens.
OverviewBroadPath is immediately hiring a Eligibility Representative to join our team. OurEligibility Representative will be responsible for accurately maintain enrollment records based on daily requests received from the various internal and external stakeholders. Our ideal candidate should possess professional communication skills, written and verbally, and maintain a high level of confidentiality.
Responsibilities- Responsible for the accurate update and maintenance of enrollment records received electronically to facilitate the processing of claims and other service requests, in accordance with operational policies and daily production standards.
- Maintain professional relations with HMO representatives, acting as a liaison between B&T and the HMO in resolving eligibility issues.
- Process assigned eligibility reports to completion, accurately updating and maintaining enrollment records, in accordance with operational policies and procedures.
- Ensures accurate and timely data entry into the EPIC / IDX system for each patient, according to established standards.
- Process electronic verification request from internal and external stakeholders.
- Call and follow up with Healthcare Plans to resolve eligibility issues.
- Properly analyzes various payor eligibility responses to find the information needed to complete verifications.
- Follows all HIPAA, compliance, privacy and confidentiality standards.
- Updates and maintains enrollment records of members.
- Performs other duties as assigned.
Qualifications- High school graduate or an equivalent required
- EPIC experience, required
- Claims experience required
- Health plan experience, required
- Adjudication experience required
Systems Experience Required:
Any preferred experience, systems or skills:
- Epic experience is mandatory
- Claims experience is mandatory
- Keen eye for accuracy
- Eligibility / HMO Verifications experience is preferred
- FX Tapestry
Diversity StatementAt 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.
