Eligibility Consultant

Job Description:

• Supporting multiple health plans
• Verifying enrollment status and making changes to member/client records
• Addressing a variety of enrollment questions or concerns
• Maintaining enrollment databases and coordinating transfer of non-electronic eligibility data
• Responding, researching, and resolving eligibility and/or billing related issues
• Validating benefit plan enrollment information for accuracy and completeness
• Partnering with other team functions to coordinate the release of eligibility and benefit plan information
• Completing data entry requirements for finalizing new enrollment information

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:

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility