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Inbound Benefit Customer Service (Remote)

Buffalo, NY · Remote

$18/hr

Remote Eligibility : Must reside within 2 hours of the Downtown Buffalo, NY facility and in the United States. Position Overview Representatives will initially support one client account and will ...

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Vytwo

ServiceNow Engineer

Prosper, TX · Remote

$60 - $70/hr

Remote *Eligibility to obtain and maintain a Public Trust clearanc e. * US Citizen is must Key responsibilities include: * Develop, configure, and customize ServiceNow applications, ensuring best ...

Arizona Department of Administration

$24.68/hr

Phoenix Medical Eligibility Assessor Job No: 542744 Work Type: Full-time Location ... REMOTE OPTIONS, PHOENIX Categories: Social Work/Human Services AHCCCS Arizona Health Care Cost ...

Savista

Eligibility Specialist 2

$20 - $22/hr

This is a fully remote position. Candidates must have a dedicated, secure workspace and reliable internet access to perform job duties effectively. Key Responsibilities * Conduct advanced eligibility ...

NTT DATA Services

Medicaid Eligibility SME

Nashville, TN · Remote

$72K - $170K/yr

This Medicaid Eligibility Subject Matter Expert (SME) will be a valued member of the client ... The starting pay range for this remote role is $72,832 - $170,700. This range reflects the minimum ...

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How much do remote eligibility jobs pay per year?

As of Aug 4, 2026, the average yearly pay for remote eligibility in the United States is $52,156.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Eligibility vs Data Analyst?

AspectRemote EligibilityData Analyst
Required CredentialsVaries; often includes relevant certifications or degreesBachelor's degree in data-related fields; certifications like Microsoft or SAS are common
Work EnvironmentCan be remote, hybrid, or on-site depending on employerTypically office-based but increasingly remote options available
Employer & Industry UsageUsed across many industries; eligibility depends on company policyCommon in finance, healthcare, marketing, and tech industries

Remote Eligibility refers to whether a job can be performed remotely, while Data Analyst describes a specific role that may or may not be eligible for remote work. Understanding the distinction helps job seekers identify roles that fit their remote work preferences and required qualifications.

What is a remote eligibility job?

Remote Eligibility jobs are positions focused on determining whether individuals qualify for certain benefits or services, such as healthcare, insurance, or government assistance, and are performed entirely from a remote location. These roles typically involve reviewing applications, verifying documentation, and making decisions based on established criteria. Remote Eligibility specialists may work for government agencies, healthcare providers, or private companies, and they use online systems to process information. Strong attention to detail, confidentiality, and communication skills are important in this field.

What are common challenges faced by remote eligibility specialists, and how can they be addressed?

Remote eligibility specialists often face challenges such as navigating varying regulations across states, ensuring accurate and timely documentation, and maintaining effective communication with clients and team members from a distance. To address these, it's important to stay updated on policy changes, utilize secure digital tools for managing sensitive information, and establish regular check-ins with supervisors and colleagues. Strong organizational skills and proactive communication are key to overcoming these hurdles and delivering excellent service in a remote environment.

What skills and qualifications are needed to thrive as a remote eligibility specialist?

To thrive as a Remote Eligibility Specialist, you need a solid understanding of eligibility requirements, attention to detail, and familiarity with healthcare or social services regulations, often backed by a relevant associate’s or bachelor’s degree. Proficiency in eligibility management software, CRM systems, and secure document handling tools is typically required. Strong organizational skills, clear communication, and the ability to work independently are vital soft skills for this remote role. These skills ensure accurate eligibility determinations, compliance with policies, and efficient service delivery to clients.
More about Remote Eligibility jobs
What cities are hiring for Remote Eligibility jobs? Cities with the most Remote Eligibility job openings:
What are the most commonly searched types of Eligibility jobs? The most popular types of Eligibility jobs are:
What states have the most Remote Eligibility jobs? States with the most job openings for Remote Eligibility jobs include:
What job categories do people searching Remote Eligibility jobs look for? The top searched job categories for Remote Eligibility jobs are:
Remote Eligibility jobs near you
Infographic showing various Remote Eligibility job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $52,156 per year, or $25.1 per hour.

Clearance Specialist - Remote - Eligibility Representative

Soleo Health, Inc.

Remote

$23 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Experience running test claims and calculating HCPC codes required.
Soleo Health Perks:
  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Annual Merit Based Increases
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program

This Position:
The Clearance Specialist will be working 8:30am -5:00pm MST , and is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
  • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
  • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
  • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
  • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
  • Reviewing and obtaining clinical documents for submission purposes
  • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
  • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
  • Generate new patient start of care paperwork

Schedule:
  • Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
  • Weekend On-call once monthly
  • Must have experience with Acute Infusion for Prior authorization/Benefits Verification

Requirements
  • High school diploma or equivalent
  • Experience running test claims and calculating HCPC codes required.
  • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
  • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
  • Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
  • Ability to work in a fast-paced environment
  • Knowledge of HIPAA regulations
  • Basic level skill in Microsoft Excel & Word
  • Knowledge of CPR+ preferred

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
  • Improve patients' lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring
Salary Description
$23.00-$27.00 per hour

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