Back to Jobs

Healthcare Insurance Eligibility Specialist

Remote, USA Full-time Posted 2025-05-22

<p>Welcome to Humana, a leading healthcare company dedicated to improving the health and well-being of our members. We are currently seeking a Healthcare Insurance Eligibility Specialist to join our team. In this role, you will play a crucial part in ensuring our members have access to the healthcare services they need by verifying their eligibility and benefits. To excel in this position, you must have a strong understanding of insurance eligibility and claims processes, excellent communication skills, and a passion for helping others. If you are looking for a rewarding career in the healthcare industry, we would love to have you on our team.nnVerify Member Eligibility: The Healthcare Insurance Eligibility Specialist will be responsible for verifying the eligibility of Humana members to ensure they have access to the healthcare services they need.nnUnderstand Insurance Processes: The specialist must have a strong understanding of insurance eligibility and claims processes to accurately verify member eligibility and benefits.nnCommunicate with Members: The specialist will communicate with members to gather necessary information and explain their eligibility and benefits.nnCollaborate with Team Members: The specialist will work closely with other team members to ensure accurate and timely verification of member eligibility.nnMaintain Documentation: The specialist will maintain accurate documentation of member eligibility and benefits verification for reference and auditing purposes.nnStay Up-to-Date on Insurance Changes: The specialist will stay updated on any changes in insurance eligibility and benefits to ensure accurate verification for members.nnProvide Excellent Customer Service: The specialist will provide excellent customer service to members by addressing any questions or concerns they may have regarding their eligibility and benefits.nnEnsure Compliance: The specialist will ensure compliance with all regulatory and company policies and procedures related to verifying member eligibility.nnHandle Inquiries: The specialist will handle inquiries from members, healthcare providers, and internal stakeholders regarding member eligibility and benefits.nnContribute to Team Success: The specialist will contribute to the overall success of the team by meeting individual and team goals related to member eligibility and benefits verification.</p><p>Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.</p>

Apply To This Job

Similar Jobs

City Lead - Surat / Ahmedabad

Remote, USA Full-time

Amazon Online Jobs Work From Home No Experience No Experience Needed: Work Remotely: Live Chat Agent Opportunity with $25-$35/Hour Earnings - Remote Job Central

Remote, USA Full-time

Remote Book Reviewer (Entry-Level, No Experience Required)

Remote, USA Full-time

Virtual Medical Scribe

Remote, USA Full-time

Customer Support Representative - Fully Remote

Remote, USA Full-time

Utilization Review Nurse- FT & PT (9a-9p EST)

Remote, USA Full-time

Entry-Level Remote Nike Data Analyst ($37/Hour) in The Bronx, NY in Remote Job Team

Remote, USA Full-time

Disney Virtual Assistant jobs (part time) $25/Per hour – Now Seeking Candidates

Remote, USA Full-time

Customer Service Representative - Part Time

Remote, USA Full-time

Remote Customer Service/Sales Representative - New York Residents Only

Remote, USA Full-time

Full & Part-Time Sales/ Remote

Remote, USA Full-time

Independent Insurance Claims Adjuster in Brighton, Colorado

Remote, USA Full-time

Southwest Airline Jobs From Home

Remote, USA Full-time

Remote Chat Specialist Openings - No Experience Required | Earn $25-$35/h

Remote, USA Full-time

Remote School Psychologist

Remote, USA Full-time

Need Licensed Practical Nurse: Nights 11pm-7am (8hr shift)

Remote, USA Full-time

Sr. Equipment Mechanic (Open Until Filled)

Remote, USA Full-time

Finance and Budgeting Intern: Supporting the Budget, Financial Management and Reporting Section of United Nations Mine Action Service (UNMAS)

Remote, USA Full-time

Associate Counsel - Dallas, TX (Remote)

Remote, USA Full-time

Inventory Control Associate

Remote, USA Full-time