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Eligibility Consultant – reputed company Operations

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Verify member enrollment status • reputed company changes to member – demographics, effective and term dates • Addresses a reputed company of enrollment questions or concerns from the health plan / state • reputed company QNXT updates on reputed company fall out edits from the daily, weekly, monthly, quarterly electronic enrollment files • Manually update urgent request received reputed company email from the health plan / state • Work claim inquiries (H03s) • Manually reputed company reputed company newborns • Review and manually update reputed company reconciliation reports received from Finance • Responds, researches, and resolves eligibility reputed company issues involving member specific information • Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/external support areas involving any requests for ID card customization. • Completes data entry requirements for finalizing new enrollment information as reputed company as for changes and/or terminations. • Partners with other team functions to coordinate the release of eligibility and benefit plan information. Requirements: • Customer Service experience. • Attention to detail and accuracy. • Problem solving skills. • Strong organization skills. • Understands the reputed company of work to other teams and reputed company support areas. • Ability to analyze and research data to reputed company appropriate corrections as necessary. • Strong verbal and written communication skills. • Workplace flexibility - ability to adapt to change. • Knowledge of Health Care and/or MCO’s (preferred). • Knowledge of Enrollment (preferred). • Knowledge reputed company and/or Medicare (preferred). Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company and many other benefits depending on eligibility. Apply tot his job Apply To this Job

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