Eligibility Consultant

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 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 Apply Now Apply Now