Eligibility Management Agent

Who we are:

third way health (www.thirdway.health) helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a leading technology platform and world class services. What unites us is our passion to support physicians and help patients from all backgrounds to have a better healthcare experience.

About the position:

We’re looking for full-time Team Members for our Eligibility Team in the Medellin area. As part of our Eligibility Team you will have the chance to help us improve the healthcare experience in the US for thousands of patients by helping them with their eligibility information and inquiries (incl. eligibility verification, eligibility updates, coordination of benefits, etc.). 

Salary:  3.000.000 COP , Plus Bonus 150.000 COP    
Indefinite Contract.

Responsibilities:

  • Enter new member eligibility records into EZ Cap following established guidelines

  • Validate coordination of benefits (COB) to determine payment responsibilities

  • Verify current and past patient eligibility

  • Obtain eligibility requests via email, and eligibility portal and perform eligibility checks 

  • Provide assistance to personnel from other departments with eligibility-related issues

  • Review accounts, providing updates and information current plan statuses

  • Help to train new employees and inform them about the TWH’s procedures and management policies

Required skills and qualifications: 

  • University degree

  • Strong communication, both written and verbal (candidates must be fluent in English, C1 or above preferred)

  • Expertise in healthcare (US healthcare sector experience; does not need to be a nurse or doctor) and managing call center operations

  • Excellent skills in use of personal computer software programs including but not limited to MS Word, PowerPoint, and Excel

  • Technical experience managing data across multiple platforms
  • Demonstrated critical thinking experience
  • Great active listening skills

  • Strong time management and organizational skills

  • Comfortable working in fast-paced environments

  • Excellent troubleshooting skills

Operations

Medellín, Colombia

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