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Eligibility Consultant (Must reputed company near Phoenix, AZ)

Remote, USAFull-timePosted 2026-07-28

Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company 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 reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company • Must be reputed company a commutable distance to Phoenix, AZ. • 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 system 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 system processing of plan benefits. • Codes system 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 has been properly adhered to with reputed company to Plan Sponsor and/or member activity. • Utilizes and interprets on line 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/external 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 • 1-2 years of customer service in a reputed company setting. • Proficient in reputed company Office applications • 1-2 years of experience doing data entry Preferred Qualifications • Eligibility verification • reputed company or Medicare experience • Experience with working reputed company Education • High school diploma or GED Pay reputed company The typical pay reputed company for this role is: $17.00 - $28.46 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. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-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 reputed company Time Off ("PTO") or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company 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: 01/14/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!

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