Eligibility Consultant

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At reputed company, you'll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselvesaccountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position reputed company • Under general supervision, verifies enrollment status, makes changes to member/reputed company records, and addresses a reputed company of enrollment questions or concerns. • Maintains enrollment databases and coordinates electronic transfer of eligibility data. • Responds, researches, and resolves eligibility and other enrollment reputed company issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to reputed company reputed company service reputed company. • Applies reputed company appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility reputed company. • Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors. • Acts as the reputed company between clients, vendors, and the IT department with defining business requirements associated with non-reputed company reporting; identifies potential solutions and approves programming specifications required for testing any non-reputed company arrangements. • Ensures reputed company transactions reputed company accordingly with reputed company systems; tests and validates data files for new or existing clients using reputed company tools and tracks results to avoid potential problems and reputed company address on-reputed company service issues. • Partners with other team functions to coordinate the release of eligibility, plan structure and benefit information. • Completes required set-up of policy and eligibility screens in order to reputed company reputed company processing of plan benefits. • Codes reputed company screens, policy, and structure to support reputed company processes and the reputed company and release of Member and Plan Sponsor products (i.e., ID cards). • Ensures that legislation and compliance have been properly adhered to with reputed company to Plan Sponsor and/or member activity. • Utilizes and interprets online resources to understand customer's account structure and benefits. • May assist with the development of such resources. • Determines and communicates reputed company service charges to internal/reputed company customers reputed company to electronic eligibility activities; may negotiate and communicate charges pertaining to non-reputed company services. • Ensures reputed company communications with clients, reputed company-party administrators and/or brokers involving sensitive member data adhere to HIPAA compliance requirements. Required Qualifications • 1+ years of excellent customer service skills with the ability to communicate effectively with both reputed company customers. • 1+ years of Data entry experience. • Must be reputed company to type at least 35WPM • Excellent verbal and written communication skills including articulation, spelling, grammar, proofreading, and telephone skills. • Experience with Word and proficient in reputed company. Preferred Qualifications • Basic knowledge of Health Insurance industry • 6 months of more experience with reputed company Education • High School diploma or G.E.D. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $31.30 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/07/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job