Eligibility Specialist Help patients get the coverage they need while building valuable healthcare revenue cycle experience. Join TeamHealth in a detail-focused role where your work helps ensure claims are resolved accurately and efficiently.
What You'll Do:
As an Eligibility Specialist, you will review denied and rejected claims, identify the root cause of issues, and take action to correct and resubmit claims. You'll play an important role in supporting reimbursement processes while maintaining accurate account documentation and collaborating with your team to resolve challenges.
Key Responsibilities:- Review denial, rejection, and eligibility reports to identify claim issues
- Analyze denied or rejected claims, determine the cause, and make necessary corrections for resubmission
- Identify the appropriate financial class (FSC) and insurance payer based on eligibility responses
- Maintain clear, accurate, and comprehensive account documentation
- Escalate system issues, missing information, coding concerns, and other claim-related challenges to leadership as needed
- Work with a variety of source documents to support claim resolution
- Support additional departmental responsibilities as assigned
- What Makes You Successful
- Strong attention to detail and accuracy
- Ability to investigate issues and determine appropriate next steps
- Excellent written documentation skills
- Strong organizational and time management abilities
- Ability to perform routine, high-volume work while maintaining quality standards
- Collaborative mindset with a commitment to continuous improvement
- You BringHigh school diploma or equivalent required 6+ months of patient registration and eligibility verification experience
- Basic understanding of insurance eligibility and claim processing
- Ability to work with multiple systems and source documents
- Strong communication and problem-solving skills
Why TeamHealth At TeamHealth, you'll join a culture built around collaboration, innovation, and purpose. TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized as one of the "165 Top Places to Work in Healthcare" for 2026 by Becker's Hospital Review. TeamHealth has also been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025. We continue to grow across the U.S. from our clinicians to corporate employees. Join Us! If you're detail-oriented, enjoy problem-solving, and are passionate about supporting patients through accurate claims and eligibility processes, we'd love to hear from you. Join TeamHealth and make an impact in a role that helps patients and healthcare providers succeed.
What We Offer:- Opportunities for career growth and professional development
- An inclusive culture where everyone feels valued, respected, and empowered to belong
- Comprehensive medical, dental, and vision coverage beginning the first of the month following 30 days of employment 401(k) plan with discretionary company match for eligible employees
- Generous paid time off to support work-life balance for eligible employees
- Eight paid company holidays each year
- Company-provided equipment for eligible remote positions
