CVS Health
Bringing our heart to every moment of your health.
Eligibility Consultant – Paper Ops
Location
Pennsylvania
Posted
4 hours ago
Salary
$17 - $28 / hour
High SchoolEnglish
Job Description
• Handles physical documents and paper records to verify the eligibility of patients or members for healthcare services
• Reviews paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria
• Organizes paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information
• Analyzes the paper-based information and documentation to determine the eligibility of patients or members for healthcare services
• Performs manual data entry tasks to input eligibility information into relevant systems or databases
• Ensures compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality
• Identifies opportunities to enhance the efficiency and accuracy of paper-based eligibility operations
• Follows regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and personal development
• Generates reports and analyzes data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making
Job Requirements
- Working knowledge of problem solving and decision making skills
- High school diploma or equivalent required
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs including wellness screenings, tobacco cessation, and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access