Eligibility Specialist at Innovative Renal Care - Chicago, Illinois Eligibility Specialist - Innovative Renal Care

Eligibility Specialist

Innovative Renal Care

Location: Chicago, Illinois, USA

Category: Healthcare

Salary: 45,000 - 55,000 USD / yearly

Full-time


Job Description

The Eligibility Specialist is responsible for verifying and maintaining insurance information for dialysis patients across multiple clinics or financial classes. This role requires strong organizational skills, attention to detail, and the ability to collaborate with internal teams to ensure timely and accurate insurance updates.

Responsibilities

  • Verify patient insurance benefits via phone or online tools and update records in the billing system.
  • Manage reports related to insurance changes, new coverage, and inactive policies.
  • Coordinate with clinic staff, billing teams, and insurance specialists to ensure timely verification and accurate setup.
  • Serve as the primary contact for insurance-related inquiries from patients and clinic staff.
  • Request prior authorizations and resolve billing issues to minimize payment delays.
  • Ensure compliance with Medicare coordination of benefits rules, HIPAA, and other healthcare regulations.
  • Maintain confidentiality of sensitive patient and clinic information.
  • Adapt to process changes, contribute to improvements, and handle additional tasks as assigned.

Qualifications

  • Bachelor’s degree required (preferred focus in business, healthcare administration, or related field).
  • 0-2 years of experience in healthcare administration, insurance verification, or medical billing (a combination of education and experience will be considered).
  • Strong customer service, communication, and problem-solving skills.
  • Ability to multi-task and work in a fast-paced, deadline-driven environment.
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
  • Bilingual in Spanish is a plus but not required.

Perks & Benefits

Benefits include health insurance, dental and vision coverage, 401(k) matching, paid time off, and professional development opportunities.

Why Join Us?

Join us at Innovative Renal Care to be part of a leading dialysis service provider committed to delivering high-quality care to patients with kidney conditions. Our values of Integrity & Innovation, Compassion, Accountability, Results Driven, and Everyone Counts shape our inclusive and innovative work environment.