Eligibility and Benefits Specialist Full Time Remote

Kindred Healthcare•Las Vegas, NV

2h•$21 - $27•Remote

About The Position

The Eligibility & Benefits Specialist verifies patient insurance benefits and eligibility before admission to help ensure access to care, prevent claim denials and delays, safeguard revenue integrity, and support a smooth admission process. The role reviews policies to confirm active coverage, covered services, financial responsibilities, limits, restrictions, and authorization requirements, including primary and secondary insurance when applicable. As a member of the Central Access and Authorizations Team (CAAT), the specialist works patient referral queues, performs insurance and Medicare checks, documents benefit details, and contributes to quality improvement, problem solving, and productivity initiatives. The role is full-time and remote, with a listed pay range of $21.01–$26.72 per hour.

Requirements

High school diploma or GED required.
Read, write, and speak fluent English.
Strong oral and written communication and interpersonal skills.
Strong computer skills, including standard and proprietary applications.
Accurate data entry and attention to detail.
Ability to work as a team member and communicate with a professional image and attitude.
Conduct job responsibilities in accordance with company standards, policies, applicable laws, and professional standards.

Nice To Haves

Associate or bachelor’s degree preferred, particularly in a healthcare-related concentration.
Licensed healthcare provider or equivalent experience preferred.
Certified Benefits Specialist certification preferred.
In lieu of a healthcare-related field certificate, 2+ years of experience performing the role’s functions will be accepted.
Healthcare-related experience strongly preferred.
Benefits knowledge, medical terminology, revenue cycle management knowledge, knowledge of the post-acute care industry, and long-term acute care hospital experience are ideal.
Highly detail-oriented candidates are preferred.

Responsibilities

Work patient referral queues and consult multiple sites to conduct eligibility and benefits checks, Medicare status and entitlement reviews, citizenship status checks, and workers’ compensation checks.
Access Medicare Common Working files and calculate Medicare days.
Use other insurance verification portals to determine benefits and eligibility coverage.
Verify patient insurance coverage and eligibility for admission services with primary and secondary payors.
Assist with contacting hospitals, including case management and nursing, for admission and skilled nursing facility dates when needed.
Assist with coordination of benefits, including contacting patients or families to obtain and verify benefits information.
Obtain revocation letters when needed and appropriate to secure proper funding and reimbursement.
Review return-to-acute and interrupted-stay patients before admission and apply interrupted-stay rules where applicable.
Review and document deductibles, co-pays, co-insurance, out-of-pocket maximums, coverage limits, restrictions, benefit caps, and authorization requirements.
Confirm policy effective and termination dates and coordinate benefits when applicable.
Enter benefits data accurately and promptly into appropriate systems.
Communicate benefit details and potential patient responsibility to appropriate team members.
Participate in continuing education and professional development.
Learn the CAAT admission processes and seek to improve them continuously.
Learn and understand scheduling and pre-registration routines in Meditech and other CAAT referral platforms, such as Referral Manager.
Perform other duties within the scope of the CAAT team as assigned.
Follow the Company’s Code of Business Conduct, policies and procedures, Corporate Compliance Agreement, applicable laws, and professional standards.
Maintain good and regular attendance and adhere to ScionHealth policies and practices.