Eligibility Analyst

🔥 1 hour ago

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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

• Enter and modify eligibility data accurately and promptly in Luminare Health systems • Follow established procedures and client requirements • Respond to telephone, written, and electronic inquiries from employees/members, clients, brokers, and co-workers • Provide quality customer service • Support Luminare Health’s mission of making healthcare simpler, better, and more affordable

🎯 Requirements

• Remote work from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii • 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 oral, written, or diagrammed instructions • Critical thinking, logic, and reasoning skills to identify potential problems and proactively remedy issues • Flexibility and ability to prioritize and adapt to business needs • Ability to learn new/proprietary systems and adapt to various system platforms • Effective use of MS Excel and Word • Preferred: prior experience in a medical office or hospital billing environment • Preferred: Self-Funded Insurance/Benefits and/or TPA experience

🏖️ 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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