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Eligibility Consultant

ConsultantConsultantFull TimeRemoteJuniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Florida + 4 moreAll locations: Florida, Ohio, Minnesota, Virginia, West Virginia

Posted

10 days ago

Salary

$17 - $28 / hour

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

• Verifies enrollment status and makes changes to member/client records • Addresses a variety of enrollment questions or concerns • Maintains enrollment databases and coordinates transfer of non-electronic eligibility data • Responds, researches, and resolves eligibility and/or billing related issues • Works directly with clients, field marketing offices and/or local claim operations • Monitors daily status reports assessing output for developing trends • Validates benefit plan enrollment information for assigned clients • Coordinates the distribution of membership ID cards • Completes screen coding and data entry requirements related to systems processes • Reviews and corrects transaction errors impacting eligibility interfaces • Interprets and translates client benefits and supporting account structure

Job Requirements

  • 1 Year experience in Customer Service, Member Service, medical assistant, or similar role
  • Knowledge of Health Care and/or MCO's
  • Knowledge of Enrollment
  • Knowledge Medicaid and/or Medicare
  • Knowledge and comfortability with learning different systems and using Excel (VLOOKUP)
  • Attention to detail and accuracy
  • Problem solving skills
  • Strong organization skills
  • Understands the impact of work to other teams and downstream support areas
  • Ability to analyze and research data to make appropriate corrections as necessary
  • Strong verbal and written communication skills
  • Workplace flexibility - ability to adapt to change

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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