Eligibility Consultant
Job Description:
- Respond, research, and resolve eligibility and other enrollment related issues/requests
- Verify enrollment status and address a variety of enrollment questions or concerns
- Maintain enrollment databases and coordinate electronic transfer of eligibility data
- Work with clients and field marketing offices to achieve positive service outcomes
- Develop tools and provide coding supplements, tape specifications, and error listings to clients/vendors
- Act as a liaison between clients, vendors, and the IT department
- Ensure all transactions interface accordingly with downstream systems
- Test and validate data files for new or existing clients
- Partner with other team functions to coordinate eligibility, plan structure, and benefit information
- Complete required set-up of policy and eligibility screens
Requirements:
- 2-3 years of experience with eligibility verification
- 2-3 years of experience with data entry and customer service
- Demonstrated proficiency with Microsoft Office Suite
- Must reside within a commutable distance to Phoenix, AZ
- Previous experience with Medicaid and/or Medicare (preferred)
- Previous work from home experience (preferred)
- Strong time management skills
- Ability to operate independently
- Excellent organization skills
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for wellness screenings, tobacco cessation, and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
