Eligibility Processor

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Promoted Parent
  • Post Date: January 30, 2021
  • Applications 0
  • Views 29
Job Overview

Job Description

We’re now hiring full-time, Eligibility Processors to be trained onsite for two weeks and then work with us from home until the site reopens. We will even provide the equipment for you to be successful!


As an Eligibility Processor, you’ll be responsible for follow up on all hospital accounts forwarded by IBO in a timely and efficient manner adhering to the client’s bill hold policy. You will get to work with leading technologies and systems while having a dedicated team of leaders and peers to support you. 


You will be responsible for:

  • Insurance verification for encounters with physicians either office, ancillary inpatient or surgical
  • Calling the patients on self pay accounts to obtain insurance information
  • Updating the client system with correct information obtained thru insurance verification or address verification
  • Follow-up communication regarding insurance/authorization status to physicians, clinicians and billing teams
  • Being the liaison between referral sources, physicians and patients
  • Authorization of all pre-service and referral management’s activities, including but not limited to authorization and re-authorization coordination for all clinic and surgeries
  • Ensuring that all authorization and tracking processes for the practice are compliant within the agreed client and practice guidelines


What we offer:

  • Competitive hourly rate
  • Medical, dental and vision benefits
  • Paid training
  • Advancement opportunities


  • High School diploma or GED required
  • Professional CPAT certification preferred
  • Hospital experience required
  • 3-5 years work related experience
  • Knowledge of obtaining benefit information, co-pay, co-insurance, out/in network benefits, obtaining authorization and pre-authorization
  • Ability to organize and prioritize multiple projects, activities and deadlines.
  • Ability to work positively and productively in fast-paced environment.
  • Must abide by HIPPA regulations regarding confidentiality.
  • Excellent communication skills required
  • Excel experience required


Requirements to work from home:

  • Excellent Internet connectivity
  • Productive and secure work environment


About us:

As a digital transformation company, Sutherland rethinks and rebuilds processes for the digital age by combining the speed and insight of design thinking with the scale and accuracy of data analytics. We have been helping customers globally, across industries from financial services to healthcare, achieve greater agility through transformed and automated customer experiences for over 30 years.

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