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Billing & Eligibility Specialist

  • $21 Per Hour
  • Contractor
  • Full-time

Highlights

This role focuses on accurately processing and reconciling transactions across claims and vendor systems while ensuring compliance with applicable guidelines and regulations. We’re hiring a Billing & Eligibility Specialist to support healthcare eligibility, enrollment, billing, and claims-related operations.

Numbers & Facts

LocationAkron, OH
Job TypeContractor, Full-time
IndustryStaffing/Employment Agencies
Salary$21 Per Hour
Year Founded2004
HeadquartersUtica, MI, US
Websitehttp://www.alinestaffing.com/

Description

Billing & Eligibility Specialist
Pay Rate: $21.00/hour
Location: Akron, OH (On-site)
Job Type: Full-Time, Contract
Schedule: Monday–Friday, 8:00 AM–5:00 PM (No weekends)
Interview: Microsoft Teams

Position Overview
We’re hiring a Billing & Eligibility Specialist to support healthcare eligibility, enrollment, billing, and claims-related operations. This role focuses on accurately processing and reconciling transactions across claims and vendor systems while ensuring compliance with applicable guidelines and regulations.

Job Responsibilities

Process, implement, maintain, and reconcile eligibility/enrollment transactions in claims and related vendor systems
Review enrollment files, resolve errors, and ensure timely, accurate updates
Investigate rejected transactions from external systems/vendors and take corrective action
Support compliance by researching and staying current on regulatory changes impacting eligibility/enrollment and billing
Perform quality checks/audits on enrollment and reconciliation files exchanged with third parties
Respond to inquiries through portals and shared inboxes; route items appropriately for resolution
Provide customer service by phone and electronically regarding eligibility, enrollment status, billing, coordination of benefits, PCP changes, and address updates
Document inquiries and outcomes in the designated workflow/document management tools
Maintain confidentiality of sensitive member and business information

Qualifications

High school diploma (or equivalent)
1+ year experience in eligibility/enrollment processing, claims/healthcare operations, auditing, healthcare data processing, and/or customer service supporting healthcare systems
Basic Microsoft Office skills (Word, Excel, Access)
Typing 35 WPM with 95% accuracy
Strong attention to detail and proofreading skills
Analytical, troubleshooting, and problem-solving abilities
Professional communication skills and strong time management

Skills

  • Microsoft Office
  • Medical Billing
  • Enrollment
  • CLAIMS

About Company

A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries.

Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day.

A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent.

For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism.

To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals

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