Technical Eligibility Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $33 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Luminare Health

WebsiteLinkedInAll Job Openings

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 technical eligibility matters for Luminare Health's healthcare operations • Work with employees/members, providers, clients, and co-workers to resolve eligibility issues • Perform accurate data entry and use proprietary systems and MS Excel/Word • Carry out oral, written, or diagrammed instructions • Identify and resolve problems in varying situations • Adapt to process improvements and new system platforms • Work effectively with minimal supervision in a customer service and production-driven environment

🎯 Requirements

• High School diploma or GED equivalent • Minimum three years Eligibility experience • Ability to work in a fast-paced, customer service and production driven environment • Exceptional data entry skills with high attention to detail • Excellent verbal and written communication skills • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Management staff all levels of staff • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form • Flexible; open to continued process improvement • Self-directed individual who works well with minimal supervision • Good leadership, organizational and interpersonal skills • Demonstrated critical thinking skills • Ability to effectively deal with problems in varying situations and reach resolution • Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word • Bachelor's degree (preferred) • Previous leadership 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