Eligibility Analyst

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $14 - $28 / hour

⏰ Full Time

🟢 Junior

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Luminare Health

Luminare Health

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Luminare Health is a leading provider of self-funded health plan administration services with over 50 years of industry experience. The company specializes in offering flexible and innovative solutions for hospitals, health systems, and direct-to-employer initiatives, focusing on administration, cost management, and digital reporting tools. Luminare Health is dedicated to being a reliable partner in managing healthcare costs and supporting strategic growth for its clients. The company emphasizes a member-centered approach to healthcare while delivering significant savings through expert claim analysis and management of high-cost claims.

📋 Description

• Analyze eligibility information and/or benefits data • Perform accurate data entry with high attention to detail • Work in a fast-paced, customer service and production-driven environment • Collaborate with team members, employees/members, providers, and clients • Meet deadlines and conduct strong follow-up • Use logic and reasoning to identify potential problems and proactively remedy issues • Learn and use new/proprietary systems and various system platforms • Use MS Excel and Word • Adapt to process improvements and changing business needs

🎯 Requirements

• High School diploma or GED equivalent • Minimum 1-2 years of Eligibility and/or benefits experience • Ability to work in a fast-paced, customer service and production driven environment • Exceptional data entry skills with high attention to detail • Effective verbal and written communication skills • Ability to work effectively with team members, employees/members, providers, and clients • Ability to meet deadlines with strong follow-up skills • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form • Critical thinking skills; logic and reasoning to foresee and identify potential problems and proactively take steps to remedy the issue • Flexible; open to continued process improvement with the ability to prioritize and adapt to business needs • Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word • Prior experience in a medical office or hospital billing environment preferred • Self-Funded Insurance/Benefits and/or TPA experience preferred

🏖️ Benefits

• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan

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