Eligibility Consultant

Job not on LinkedIn

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

💼 Consultant

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Verify enrollment status, update member/client records, and address enrollment questions or concerns • Research and resolve eligibility and billing issues involving member-specific information • Work with clients, field marketing offices, and local claim operations to achieve positive service outcomes • Maintain enrollment databases and coordinate transfer of non-electronic eligibility data • Monitor daily status reports and assess trends affecting service levels • Apply technical requirements, legislative/regulatory policies, account structures, and benefit parameters to eligibility matters • Validate benefit plan enrollment information for accuracy and completeness • Coordinate distribution and customization requests for membership ID cards • Complete screen coding and data entry for member and plan sponsor products and reports • Finalize new enrollment information and process changes and terminations • Review and correct transaction errors affecting eligibility interfaces • Prepare eligibility/enrollment information for imaging • Interpret client benefits and account structures against internal systems/applications • Determine and communicate standard service charges for paper eligibility activities • Partner with team functions to coordinate release of eligibility and benefit plan information • Reproduce group bills when requested by clients

🎯 Requirements

• 1-3 years of data entry experience • 1-3 years of Microsoft Suite experience • 1-3 years of customer service experience • Must reside and work in Arizona • High school diploma or equivalent • Familiar with Medicare and Medicaid coordination of benefits • Prior experience with insurance providers • Detail oriented and quality focused • Phoenix based

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility