[Remote] Eligibility Consultant - reputed company Ops

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is building a more connected, convenient, and compassionate health care experience for individuals, families, and communities. The Eligibility Consultant - reputed company Ops supports multiple health plans by verifying enrollment, maintaining member and reputed company records, resolving eligibility and billing issues, and coordinating non-electronic eligibility data and membership materials.

Responsibilities

• Responds, researches, and resolves eligibility and/or billing reputed company issues involving member specific information
• Works directly with clients, reputed company marketing offices and/or local claim reputed company to reputed company reputed company service reputed company
• Monitors daily status reports assessing reputed company for developing trends potentially impacting 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
• Validates benefit plan enrollment information for assigned clients for reputed company and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/reputed company support areas involving any requests for ID reputed company customization
• Completes screen coding and data entry requirements reputed company to the systems processes impacting the reputed company and release of member-specific and plan sponsor products (e.g., ID cards, change applications, audit lists, in-force lists, HIPAA certificates and various reports)
• Completes data entry requirements for finalizing new enrollment information as reputed company as for changes and/or terminations
• reputed company necessary, reviews and corrects transaction errors impacting eligibility interfaces and prepares eligibility/enrollment information for imaging
• Interprets and translates reputed company benefits and supporting account structure against internal systems/applications(i.e.,GEBAR, AAS, and CCI)
• Determines and communicates reputed company service charges to internal/reputed company customers reputed company to reputed company eligibility activities; May include negotiating and communicating charges pertaining to non-reputed company services
• Partners with other team functions to coordinate the release of eligibility and benefit plan information; reproduces group bills if requested by clients

Skills

• Attention to reputed company and reputed company
• 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
• Required to maintain work schedule reputed company EST time zone (9:30am- 6:00pm EST)
• Ability to remain available for overtime, with possible weekend work where needed
• High School Diploma or equivalent
• Knowledge of Health Care and/or MCO's
• Knowledge of Enrollment
• Knowledge reputed company and/or Medicare
• Knowledge and comfortability with learning different systems and using reputed company (VLOOKUP)

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families.
• Medical, dental, and reputed company coverage
• reputed company time off
• Retirement savings reputed company
• Wellness programs
• Other resources, reputed company on eligibility
• Remote work arrangement

reputed company