Eligibility Consultant

Job not on LinkedIn

🔥 12 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

💼 Consultant

🚫👨‍🎓 No degree required

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Handle physical documents and paper records to verify the eligibility of patients or members for healthcare services • Review paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria • Organize paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information • Analyze the paper-based information and documentation to determine the eligibility of patients or members for healthcare services • Perform manual data entry tasks to input eligibility information into relevant systems or databases • Ensure compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality • Identify opportunities to enhance the efficiency and accuracy of paper-based eligibility operations • Follow regular, timely feedback, as well as the formal performance review process, to ensure delivery of exceptional services and engagement, motivation, and personal development • Generate reports and analyze data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making

🎯 Requirements

• 1+ year of experience with data entry • Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) • Must reside in Phoenix, Arizona

🏖️ Benefits

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