Job Description

Location: This is a remote, work from home position

About Belle

Belle is a fast-growing engagement company revolutionizing home healthcare – and it all starts with the feet. 70%+ of U.S. seniors are polychronic, significantly increasing their risk of serious foot issues like infections, ulcers, and even amputations, driving more than $38B in annual preventable medical spend.

Belle’s solution is centered on in-home care management for at-risk, polychronic seniors. We train and manage a specialized network of nail technicians and community health workers, or “Belle Technicians,” who continuously assess a patient’s health status, collect data and vitals, provide foot screenings/care, and engage members in achieving their health goals. We detect health risks early and our clinical team helps members obtain the care they need, preventing serious health complications and improving outcomes.

Our mission is simple yet profound: Bring Joy to Healthcare. If you’re passionate about improving healthcare for polychronic seniors and making a real impact, we’d love for you to join us!

About This Role

We’re seeking an Eligibility Specialist to serve as the company’s primary expert on Medicare eligibility verification. This role will be the key liaison between our Member Operations call center, field sales representatives, and engineering team, ensuring seamless eligibility verification through our PVerify software platform.

Responsibilities

Eligibility Operations Support (40%)

  • Serve as the primary escalation point for complex eligibility questions from call center agents
  • Handle warm transfers from Member Operations for real-time eligibility verification
  • Support field sales representatives with rapid eligibility checks during enrollment activities
  • Maintain up-to-date knowledge base of eligibility requirements and verification procedures
  • Train new call center agents and sales representatives on eligibility verification processes

PVerify System Enhancement (40%)

  • Work directly with engineering team to optimize PVerify software implementation
  • Identify opportunities for automation and process improvement
  • Document system requirements and test new features
  • Report common eligibility verification issues or patterns

Medicare Eligibility Expertise (20%)

  • Serve as company-wide subject matter expert on Medicare eligibility
  • Stay current with Medicare regulations and requirements
  • Collaborate with Learning and Delivery to maintain training materials for PVerify system and common eligibility scenarios
  • Provide regular updates to teams on eligibility-related changes

Experience, Skills, & Requirements

  • 3+ years experience with Medicare eligibility verification
  • Proven experience with eligibility verification software (PVerify experience a plus)
  • Strong understanding of Medicare benefits and requirements
  • Excellent problem-solving and analytical skills
  • Superior communication abilities for cross-team collaboration
  • Demonstrated experience in creating training materials and procedures
  • Ability to handle high-volume requests with accuracy and efficiency

Benefits

  • Competitive base salary plus bonus
  • Health, dental and vision benefits
  • 401k
  • A great support structure: we are here for you
  • All the resources and tools that you need to succeed
  • Opportunity for significant career growth and expansion of responsibilities
  • Ability to reshape an industry and protect lives

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

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