Eligibility Specialist - Full Time - Germantown, TN

Job Title: Eligibility Specialist

About Us

At West Cancer Center, we are dedicated to providing compassionate, patient-centered care while advancing groundbreaking research. Our team fosters collaboration, innovation, and professional growth, ensuring that every role contributes to making a difference in patients’ lives. Join us in our mission to provide comprehensive support to those navigating the challenges of cancer treatment.

Position Overview

The Eligibility Specialist ensures that all patient insurance and referral information is accurate, current, and correctly entered in the system. This role is responsible for verifying benefits, resolving claim issues, and supporting patients with benefit-related questions, working collaboratively with internal teams to ensure a seamless patient experience.

Key Responsibilities

Verify insurance benefits for new patients, add-ons, and hospital surgeries

Verify benefits on existing patients and update records as needed

Enter and validate patient demographics and insurance in Practice Management (PM) and EMR systems

Enter and verify copayments and financial information

Contact primary care physicians or patients to obtain referrals

Handle patient inquiries regarding insurance coverage and benefits

Assist in explaining financial screening and application processes, collaborating with Financial Advocates

Work closely with West Cancer Foundation for screening and approvals

Assist patients who are uninsured in connecting with appropriate financial support teams

Manage STAT add-on list daily

Review and process scanned insurance cards and maintain accurate documentation

Monitor group inbox tasks in EMR for eligibility and referral issues

Communicate effectively with patients to explain coverage, copays, deductibles, out-of-pocket expenses, and referral requirements

Collaborate with Front Desk, Medical Records, Business Office, Radiology, Nursing, and other internal teams to ensure accurate and timely insurance verification

Address eligibility and referral issues raised by staff and leadership in a timely manner

Perform all other duties as assigned

Some travel to satellite offices may be required

Qualifications

Education & Experience

High school diploma or GED required

Minimum of 2–3 years of experience in insurance verification in a medical environment

Data entry skills required; proficiency in 10-key by touch

Skills & Abilities

Strong organizational and follow-up skills

Excellent written and verbal communication skills

Strong customer service and interpersonal skills

Ability to analyze situations and resolve issues quickly and accurately

Ability to prioritize and handle multiple tasks in a fast-paced environment

Ability to collaborate effectively across multiple teams

Proficiency in computer applications, including EMR, PM systems, Microsoft Office, Outlook, and web portals

Knowledge of insurance verification, patient eligibility, referrals, and healthcare billing processes

Why West Cancer Center is a Great Place to Work

Meaningful Impact: Play a direct role in supporting patients through one of the most challenging times of their lives.

Collaborative Culture: Work alongside a multidisciplinary team of dedicated professionals committed to improving cancer care.

Professional Development: Benefit from ongoing training, educational resources, and growth opportunities.

Mission-Driven Environment: Be part of an organization guided by compassion, integrity, and innovation.

No nights, weekends, or holidays. Comprehensive benefits package.

Join Us

If you’re detail-oriented and passionate about helping patients navigate their healthcare coverage with ease and transparency, apply today to join West Cancer Center as an Eligibility Specialist.