Eligibility Specialist

Summary

Join Belle, a rapidly growing engagement company revolutionizing home healthcare, as an Eligibility Specialist. This remote position requires expertise in Medicare eligibility verification and serves as the key liaison between various teams. You will be responsible for supporting eligibility operations, enhancing the PVerify software platform, and acting as a subject matter expert on Medicare eligibility. The role demands strong problem-solving, communication, and training skills. Belle offers a competitive salary, bonus, comprehensive health benefits, 401k, and opportunities for career growth.

Requirements

• 3+ years experience with Medicare eligibility verification
• Proven experience with eligibility verification software
• Strong understanding of Medicare benefits and requirements
• Excellent problem-solving and analytical skills
• Superior communication abilities for cross-team collaboration
• Demonstrated experience in creating training materials and procedures
• Ability to handle high-volume requests with accuracy and efficiency

Responsibilities

• Serve as the primary escalation point for complex eligibility questions from call center agents
• Handle warm transfers from Member Operations for real-time eligibility verification
• Support field sales representatives with rapid eligibility checks during enrollment activities
• Maintain up-to-date knowledge base of eligibility requirements and verification procedures
• Train new call center agents and sales representatives on eligibility verification processes
• Work directly with engineering team to optimize PVerify software implementation
• Identify opportunities for automation and process improvement
• Document system requirements and test new features
• Report common eligibility verification issues or patterns
• Serve as company-wide subject matter expert on Medicare eligibility
• Stay current with Medicare regulations and requirements
• Collaborate with Learning and Delivery to maintain training materials for PVerify system and common eligibility scenarios
• Provide regular updates to teams on eligibility-related changes

Preferred Qualifications

PVerify experience

Benefits

• Competitive base salary plus bonus
• Health, dental and vision benefits
• 401k
• A great support structure: we are here for you
• All the resources and tools that you need to succeed
• Opportunity for significant career growth and expansion of responsibilities
• Ability to reshape an industry and protect lives