Eligibility Coordinator, Clinical Delivery
About the role
Opportunity
Twin Health is seeking a motivated and detail-oriented Eligibility Support Coordinator to join our growing Clinical Delivery Management team. Reporting to the Manager of Eligibility Operations, this role plays a critical part in supporting member enrollment, insurance verification, eligibility operations, and conversion enablement activities.
As an Eligibility Support Coordinator, you will help ensure that members receive accurate eligibility determinations, timely communication, and a seamless experience throughout the enrollment journey. You will work cross-functionally with clinical, operational, customer support, and payer-facing teams to verify coverage, resolve eligibility issues, and support initiatives that improve member conversion and activation outcomes. This role is ideal for someone who enjoys problem-solving, thrives in a fast-paced environment, and is passionate about delivering exceptional member experiences while maintaining operational excellence.
Key Metrics
- Coverage Eligibility & Insurance Verification Operations
- Member Conversion Enablement
- Member Experience & Service Excellence
- Zendesk Operations
- Operational Accuracy & Quality Assurance
- Workflow Optimization & Process Documentation
Responsibilities
Eligibility Verification & Coverage Operations
- Perform routine and ad hoc insurance verification activities across a variety of commercial and employer-sponsored health plans.
- Verify member eligibility, benefits, coverage requirements and coordination of benefits information, communicating through multiple channels (Zendesk, Salesforce, chat)
- Review payer requirements and ensure authorizations are obtained prior to member participation in Twin programs.
- Investigate and resolve eligibility discrepancies through collaboration with internal teams.
- Maintain accurate documentation of eligibility determinations, verification activities, and member communications.