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Eligibility Specialist II

Texas Oncology

Join Texas Oncology, part of The US Oncology Network, as an Eligibility Specialist supporting the Central Business Office.

This role is a hybrid remote position, with the expectation that the employee resides within commuting distance of the Central Business Office location. The position may be filled at Level 1, Level 2, or Senior depending on candidate experience.

In this role, you will research insurance coverage, resolve eligibility variances, coordinate referrals and retro-authorizations, and help ensure accurate billing and patient account processing. You will also communicate with patients, payors, clinics, and internal teams to support clean claims and account resolution.

Requirements & Qualifications

High school diploma or equivalent required.

Level 1

  • 0 to 2 years of front desk, registration, healthcare benefits, or equivalent experience
  • Proficiency with computer systems and Microsoft Office applications, including Word and Excel

Level 2

  • 3 years of front desk, registration, healthcare benefits, or equivalent experience
  • Associate degree preferred
  • Proficiency with computer systems and Microsoft Office applications, including Word and Excel

Senior Level

  • 4 years of front desk, registration, healthcare benefits, or equivalent experience
  • Associate degree preferred
  • Proficiency with computer systems and Microsoft Office applications, including Word and Excel

Additional qualifications and duties

  • Ability to research and verify insurance coverage and eligibility
  • Ability to coordinate referrals and authorizations
  • Strong communication, documentation, and follow-up skills
  • Familiarity with HIPAA and confidentiality requirements

Location

Texas, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

3 weeks ago

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