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Eligibility Associate Representative Jobs

Onsite Medicaid Eligibility Representative
By Revenue Group At Delaware, OH, United States

Full Time Position - $17.50 an hour! Hours : Monday - Friday from 11:00am to 7:30pm Location: Grady Memorial Hospital- Delaware, Ohio No one wakes up in the morning and says, "Today I want to ...

Associate Qa Representative Jobs
By Catalent At , Bloomington, 47403
0-2 years of quality assurance experience.
1 year GxP experience or other regulated industry.
Must be able to read and understand English-written job instructions and safety requirements.
Medical, dental and vision benefits effective day one of employment
Catalent offers rewarding opportunities to further your career!
Accountable for execution of the QA on the Floor program.
Patient Service Representative - Outpatient Eligibility / Procedural Authorization
By Duke Health At , Durham, 27710

Duke University Health System - Patient Revenue Management Office (PRMO)

Associate Enrollment And Eligibility Representative - National Remote
By UnitedHealthcare At , Dallas, 75202
1+ years of experience in enrollment/eligibility for employer offered benefits
Practice time management and prioritization skills to meet necessary deadlines with minimal supervision; seek guidance from mentors/supervisor when appropriate
Read, interpret, and communicate eligibility requirements following plan guidelines
1+ years of experience helping customers resolve matters
Experience with computer and Windows computer applications
1+ years of experience in a health insurance industry
Enrollment Eligibility Representative - Remote In Multiple Locations
By UnitedHealth Group At Milwaukee, WI, United States
Inventory control of member and group transactions dashboard and package development to team members and management as needed
Computer, mouse, and keyboard skills, including working knowledge of Microsoft Windows
Performing basic clerical functions with proficient PC skills
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records
Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections
Associate Enrollment - Eligibility Representative - National Remote
By UnitedHealth Group At Dallas, TX, United States
High School Diploma / GED (or higher) OR equivalent work experience
Prior eligibility / enrollment experience
Experience with multitasking in a fast-paced environment
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Prepare, process and maintain new member or group enrollments
Respond to member eligibility or group questions and verify enrollment status
Eligibility Lead Representative - Accredo - Remote, Mo
By The Cigna Group At United States
2+ years of experience with Prescription Benefit Programs, Pharmacy Coverage, Prior Authorization, Eligibility or Insurance processes required
Manage constant inbound and outbound calls exemplifying the highest customer service standards to meet quality and production metrics
Use your advanced technical skills to navigate through multiple systems, applications and screens simultaneously all while speaking on the phone.
2+ years of experience in healthcare, medical terminology, CPT and ICD codes required
Pharmacy Technician experience or license preferred
1st day benefits; Medical Dental & Vision and more
Enrollment Eligibility Representative - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $16.00 - $31.44 an hour
Utilize appropriate desktop system tools to manage and report enrollment / eligibility information (e.g., Microsoft Access, Excel)
Comply with policies, procedures, and production standards when completing data entry or resolving eligibility errors and issues
Utilize knowledge of plan document or contract rules
1+ years of Microsoft Office experience in working with Microsoft Excel
1+ years of experience with working in a productive environment, including the proven ability to meet goals
1+ years of billing experience
Eligibility Representative - Remote
By The Cigna Group At Bloomfield, CT, United States
Understand and be able to use CMS Guidance
Understanding of the rules and regulations within CMS Guidance
Ability to deal with multiple issues at one time
Ability to learn and adapt quickly
Review, investigate and resolve issues quickly - via email, phone and call trackers
Proficient in Microsoft office - Word and Excel
Eligibility Representative - Remote
By The Cigna Group At , Hartford, 06152, Ct $17 - $22 an hour

Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries. Delivers straightforward administrative and/or other basic business services in ...

Benefits And Eligibility Representative
By EO of HHS PayRoll/Gen Admin At , Tewksbury, Ma $55,037 - $74,952 a year
Assist individuals and families, individuals with disabilities, and others to determine initial and continued eligibility for MassHealth benefits.
Process applications and administer case management via phone or in-person.
Information Management: Evaluating information against standards and obtaining information from relevant sources.
Proven experience working with individuals from diverse backgrounds, including those with disabilities, geriatric populations, non-English speakers, and low-income families.
Strong organizational skills and ability to manage multiple tasks simultaneously.
Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
Eligibility Analyst Jobs
By Trustmark At United States
Exceptional data entry skills with high attention to detail
Maintain assigned eligibility work queues according to Health Benefits procedure and turnaround time expectations.
Treat all inquiries professionally and respectfully following Health Benefits guidelines.
Thoroughly and accurately document all inquiries following Health Benefits guidelines.
Effective verbal and written communication skills
Review and resolve eligibility error and audit reports.
Eligibility Supervisor Jobs
By Scott County, Minnesota At Shakopee, MN, United States
High school diploma or GED plus one year of post-secondary education and 10 years of related experience
High school diploma or GED and 12 years of experience in Public Assistance programs
Associate's Degree and 8 years of related experience
Bachelor's Degree and 4 years of related experience
Please note that salary range listed is the hiring range.** Essential Duties
Senior Enrollment Eligibility Representative - Remote In Eastern Or Central Time Zone
By UnitedHealth Group At , Dallas, 75202, Tx $18.80 - $36.78 an hour
High School Diploma / GED (or higher) OR 10+ years of equivalent working experience
Ability to multi - task, this includes ability to understand multiple products and multiple levels of benefits within each product
Loading new member or group data into the enrollment database & update the database with changes
Responding to member eligibility or group questions & verify enrollment status
Working with various types of member correspondence
Reconciling eligibility discrepancies, analyzing transactional data, & submitting retroactive eligibility changes

Are you looking for an exciting opportunity to join a team of Eligibility Associates? We are looking for a motivated individual to join our team and help us provide excellent customer service to our clients. As an Eligibility Associate Representative, you will be responsible for verifying eligibility for our clients and ensuring that all requirements are met. If you have excellent communication and customer service skills, then this could be the perfect job for you!

Job Description of Eligibility Associate Representative The Eligibility Associate Representative is responsible for providing customer service and support to clients and customers in regards to eligibility and enrollment in health care plans. This position requires excellent customer service and communication skills, as well as the ability to work with a variety of computer systems. Job Skills Required
• Excellent customer service and communication skills
• Ability to work with a variety of computer systems
• Knowledge of health care plans and eligibility requirements
• Ability to multitask and prioritize tasks
• Ability to work independently and as part of a team
• Ability to work in a fast-paced environment
Job Qualifications
• High school diploma or equivalent
• Previous customer service experience
• Previous experience working with health care plans
• Knowledge of eligibility requirements
• Ability to work with a variety of computer systems
Job Knowledge
• Knowledge of health care plans and eligibility requirements
• Knowledge of customer service principles and practices
• Knowledge of computer systems and software
• Knowledge of data entry and filing systems
Job Experience
• Previous customer service experience
• Previous experience working with health care plans
• Previous experience with data entry and filing systems
Job Responsibilities
• Respond to customer inquiries regarding eligibility and enrollment in health care plans
• Assist customers with completing applications and forms
• Verify customer information and eligibility requirements
• Enter customer information into computer systems
• File and maintain customer records
• Provide customer service and support to clients and customers