Eligibility Specialist - Full Time - Germantown, TN

The role

The Eligibility Specialist ensures patient insurance and referral information is accurate and correctly entered in the system. This role involves verifying benefits, resolving claim issues, and supporting patients with benefit-related questions.

What you will do

• Verify insurance benefits for new patients, add-ons, and hospital surgeries
• Verify benefits on existing patients and update records
• Enter and validate patient demographics and insurance in PM and EMR systems
• Enter and verify copayments and financial information
• Contact primary care physicians or patients to obtain referrals
• Handle patient inquiries regarding insurance coverage and benefits
• Assist in explaining financial screening and application processes
• Work closely with West Cancer Foundation for screening and approvals
• Assist uninsured patients in connecting with financial support teams
• Manage STAT add-on list daily

Required qualifications

• High school diploma or GED
• Minimum of 2–3 years of experience in insurance verification in a medical environment
• Data entry skills
• Proficiency in 10-key by touch
• Strong organizational and follow-up skills
• Excellent written and verbal communication skills
• Strong customer service and interpersonal skills
• Ability to analyze situations and resolve issues quickly and accurately
• Ability to prioritize and handle multiple tasks in a fast-paced environment
• Ability to collaborate effectively across multiple teams
• Proficiency in computer applications, including EMR, PM systems, Microsoft Office, Outlook, and web portals
• Knowledge of insurance verification, patient eligibility, referrals, and healthcare billing processes

Benefits

• Comprehensive benefits package

About the company

West Cancer Center is dedicated to providing compassionate, patient-centered care while advancing groundbreaking research. The team fosters collaboration, innovation, and professional growth.