Technical Eligibility Analyst

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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

• Load Triple E files and perform manual eligibility updates • Enter and modify eligibility data in Luminare Health systems accurately and promptly • Follow established procedures and client requirements • Respond to telephone, written, and electronic inquiries from employees/members, clients, and co-workers • Provide quality service to employees/members, providers, clients, and internal teams • Support the Eligibility Department with varied technical tasks based on departmental needs

🎯 Requirements

• High School diploma or GED equivalent • Minimum three years of 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, Client Management staff, and all levels of staff • Ability to use common-sense understanding to carry out oral, written, or diagrammed instructions • Flexible and 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 resolve problems in varying situations • Ability to learn new/proprietary systems and adapt to various system platforms • Effective use of MS Excel and Word

🏖️ Benefits

• Thoughtful development opportunities • 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