Top 43 Eligibility worker Jobs in San Francisco, Ca

Eligibility Specialist (Contract)
Midi Health —San Francisco, CA
- $20 an hour
- Contract
- Remote
- Mid-level
- US work authorization
- 2 years
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Eligibility Coordinator
LA FAMILIA —Hayward, CA
- $30.77 - $35.90 an hour
- Full-time
- Hybrid work
- Spanish
- Google Workspace
- Ability to walk for extended periods
- Paid holidays
- Health insurance
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Enrollment & Eligibility Specialist- Oakland/ Emeryville/ Berkeley
YMCA of the East Bay —Emeryville, CA
- $32.95 - $34.74 an hour
- Spanish
- Management
- Word processing
- Commuter assistance
- AD&D insurance
7d
Eligibility Coordinator (Healthcare)
Davis Street Community Center —San Leandro, CA
- $26 - $27 an hour
- Full-time
- Spanish
- HIPAA
- Research
- 403(b) matching
- Paid holidays
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Enrollment & Eligibility Specialist- Oakland/Hayward
YMCA of the East Bay —Hayward, CA
- $32.95 - $34.74 an hour
- Spanish
- Management
- Word processing
- Commuter assistance
- AD&D insurance
7d
Eligibility Specialist
LIFELONG MEDICAL CARE —Berkeley, CA
- $22 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
District Manager
Airgas —Oakland, CA
- $115,000 - $135,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Inventory management
- Paid jury duty
- Commuter assistance
Float/Assistant Instructor
WonderWorks Lab LLC —Burlingame, CA
- $35 - $50 an hour
- Part-time
- Background check
- School experience
- Classroom
- On-the-job training
- Flexible schedule
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Front Office & Eligibility Coordinator
LIFELONG MEDICAL CARE —Berkeley, CA
- $22 an hour
- Full-time
- Spanish
- English
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Spanish Teaching Opportunities
Concorde Education —Oakland, CA
- $50 - $100 an hour
- Contract
- School experience
- Classroom
- Spanish
Quick Apply
13d
Financial Literacy & Business Teaching Opportunities
Concorde Education —Millbrae, CA
- $50 - $100 an hour
- Contract
- School experience
- Classroom
- High school
Quick Apply
13d
Coding & Robotics Instructor
Learn2Code.Live —Oakland, CA
- $25 - $35 an hour
- Temporary
- Classroom
- 18 years or older
- Computer Science
Quick Apply
Product Design Lead
Complete —San Francisco, CA
- Full-time
- Office
- Team management
- Senior level
Staff Data Scientist, Monetization
Character.AI —Redwood City, CA
- $250,000 - $300,000 a year
- Full-time
- Hybrid work
- 7 years
- Analysis skills
- Senior level
Kennel Assistant
Veterinary Practice Partners —Walnut Creek, CA
- $18 - $22 an hour
- Full-time
- Customer service
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Kennel Assistant
Animal Care Hospital of Walnut Creek —Walnut Creek, CA
- $18 - $22 an hour
- Full-time
- Customer service
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Volunteer- CHE Alameda
La Clinica de La Raza —Oakland, CA
- Background check
- 18 years or older
- Current TB test
- COVID-19 protective measures
Quick Apply
Research Engineer, AI Safety & Alignment
Character.AI —Redwood City, CA
- $225,000 - $400,000 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Doctor of Philosophy
Volunteer at TV Preventive Med.
La Clinica de La Raza —Oakland, CA
- Background check
- 18 years or older
- Current TB test
- COVID-19 protective measures
Quick Apply
Family Mentor
Deaf Counseling Advocacy & Referral Agency —San Leandro, CA
- $28,000 - $39,000 a year
- Part-time
- Hybrid work
- Google Workspace
- Experience working with individuals with disabilities
- Computer literacy
- Paid holidays
- Health insurance

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eligibility worker jobs near san francisco, ca

Eligibility Specialist (Contract)

Midi Health -
San Francisco, CA

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Job Details

Contract
$20 an hour

Qualifications

Customer communication
Insurance products customer support
Patient question and concern management
Medical insurance coverage verification
Health insurance customer support
Data integrity and documentation
Health information data integrity
Policy verification in claims processing
Managing patient records

Full Job Description

Eligibility Specialist (Contract) @ Midi Health: ‍️

We are seeking a dedicated Eligibility Specialist (contract) to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage and ensuring eligibility for services, while also maintaining a smooth billing process. You will play a critical role in ensuring patients understand their coverage and financial responsibility before services are rendered by our clinicians. This role requires strong attention to detail, exceptional communication skills, and experience with systems like AthenaHealth, payer portals, and Zendesk.

Business impact

Accurately verify patient insurance coverage, benefits, and eligibility using systems like AthenaHealth and payer portals.
Obtain and track pre-authorizations for services when required by the payer.
Identify primary and secondary insurance coverage to ensure proper coordination of benefits and avoid future claim denials.
Maintain accurate and up-to-date documentation of insurance verification outcomes in the system, ensuring billing compliance.
Collaborate with billing specialists and patients to resolve eligibility-related issues, claim holds, or denials.
In collaboration with Operations team, maintain proprietary insurance-provider mapping database to ensure billing compliance
Notify patients of any discrepancies in coverage or issues with their insurance eligibility, providing patients with clear guidance and options.
Ensure patient insurance information is correctly recorded and maintained for accurate billing and reimbursement.
Conduct follow-up on pending insurance verifications to prevent delays in billing or service delivery.
Use AthenaHealth, payer portals and other tools efficiently to confirm patient eligibility and verify coverage before appointments.

What you will need to succeed:

Minimum of 2 years of experience in medical billing, front office, insurance verification, or eligibility-related roles. .
Proficient with AthenaHealth or another EHR, insurance payer portals and other eligibility verification systems.
Must have eligibility experience with major commercial plans, across multiple states in a telehealth model
Strong verbal and written communication skills, with the ability to explain complex insurance details to patients and internal team members.
Proven ability to investigate, resolve, and prevent issues related to insurance verification and eligibility.
High degree of accuracy in verifying patient data and maintaining records.
Ability to thrive in a fast-paced, growing environment, while maintaining a focus on patient satisfaction and operational excellence.

Who You Are:

You are an organized and detail-oriented professional with a deep understanding of insurance policies and coverage verification. Your strong communication skills and problem-solving abilities allow you to de-escalate patient concerns and resolve insurance issues effectively. You are adaptable, proactive, and capable of managing multiple tasks while ensuring the accuracy and integrity of patient information. Your focus on teamwork and patient care makes you a key player in ensuring the revenue cycle runs smoothly and efficiently.

Pay: $20 hour

Please note this is a 1099 independent contractor opportunity and does not include company benefits

Thanks for your interest in Midi

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At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [email protected].

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant's salary history.

Please find our CCPA Privacy Notice for California Candidates here.

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Refine Your Search

eligibility worker jobs in san francisco, ca

Eligibility Specialist (Contract)

Eligibility Coordinator

Enrollment & Eligibility Specialist- Oakland/ Emeryville/ Berkeley

Eligibility Coordinator (Healthcare)

Enrollment & Eligibility Specialist- Oakland/Hayward

Eligibility Specialist

District Manager

Float/Assistant Instructor

Front Office & Eligibility Coordinator

Spanish Teaching Opportunities

Financial Literacy & Business Teaching Opportunities

Coding & Robotics Instructor

Product Design Lead

Staff Data Scientist, Monetization

Kennel Assistant

Kennel Assistant

Volunteer- CHE Alameda

Research Engineer, AI Safety & Alignment

Volunteer at TV Preventive Med.

Family Mentor

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