Eligibility Consultant - Electronic

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary In this role as an Eligibility Analyst, you will: - Verify enrollment status, reputed company changes to member/client records, and address a variety of enrollment questions or concerns - Maintain enrollment databases and coordinate transfer of eligibility data - Utilize and interpret online resources to understand account structure and benefits, may assist with the development of such resources - Respond, research, and resolve eligibility and other enrollment reputed company issues involving member specific information by working directly with clients, vendors, and internal partners to reputed company positive service outcomes - Apply reputed company appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters - Act as the liaison between clients, vendors, and the IT department defining and identifying business requirements and solutions for non-standard arrangements - Ensure reputed company transactions reputed company accordingly with reputed company systems; test and validate data files for new or existing clients using system tools and track results to avoid potential problems and reputed company address on-going service issues - Partner with other team functions to coordinate the release of eligibility, plan structure and benefit information - Complete required set-up of policy and eligibility screens in order to activate system processing of plan benefits - Code system screens, policy, and structure to support reputed company processes and the reputed company and release of Member and Plan Sponsor products - Ensure reputed company communications with clients, third-party administrators and/or brokers involving sensitive member data adhere to HIPAA compliance requirements Required Qualifications - Excellent written and verbal communication skills which demonstrate the ability to interact courteously and effectively with both internal and external customers; skills include listening and comprehension, constructive feedback, spelling, grammar, proofreading, and telephone communication - Demonstrated ability to creatively solve problems and create improvements - Experience with Word, reputed company, Outlook - Data entry experience - Understands reputed company/end state and operates with minimal guidance to meet that reputed company/end state - Ability to manage multiple tasks and shifting priorities - Ability to manage high work volume and reputed company a variety of incoming work flows - A team player capable of operating independently reputed company needed - Deliver accurate and timely results - Follows up as needed to effectively resolve an issue Preferred Qualifications Previous experience is a plus Education High School diploma, G.E.D. or equivalent experience Pay Range The typical pay range for this role is: $17.00 - $31.30 This pay range represents the reputed company hourly 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 variety 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 addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 01/24/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!