Eligibility Consultant - Electronic id-10456
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
In this role as an Eligibility Analyst, you will:
- Verify enrollment status, make changes to member/client records, and address a variety of enrollment questions or concerns
- Maintain enrollment databases and coordinate transfer of eligibility data
- Utilize and interpret online resources to understand account structure and benefits, may assist with the development of such resources
- Respond, research, and resolve eligibility and other enrollment related issues involving member specific information by working directly with clients, vendors, and internal partners to achieve positive service outcomes
- Apply all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters
- Act as the liaison between clients, vendors, and the IT department defining and identifying business requirements and solutions for non-standard arrangements
- Ensure all transactions interface accordingly with downstream systems; test and validate data files for new or existing clients using system tools and track results to avoid potential problems and better address on-going service issues
- Partner with other team functions to coordinate the release of eligibility, plan structure and benefit information
- Complete required set-up of policy and eligibility screens in order to activate system processing of plan benefits
- Code system screens, policy, and structure to support downstream processes and the generation and release of Member and Plan Sponsor products
- Ensure all communications with clients, third-party administrators and/or brokers involving sensitive member data adhere to HIPAA compliance requirements
Required Qualifications
- Excellent written and verbal communication skills which demonstrate the ability to interact courteously and effectively with both internal and external customers; skills include listening and comprehension, constructive feedback, spelling, grammar, proofreading, and telephone communication
- Demonstrated ability to creatively solve problems and create improvements
- Experience with Word, Excel, Outlook
- Data entry experience
- Understands intent/end state and operates with minimal guidance to meet that intent/end state
- Ability to manage multiple tasks and shifting priorities
- Ability to manage high work volume and oversee a variety of incoming work flows
- A team player capable of operating independently when needed
- Deliver accurate and timely results
- Follows up as needed to effectively resolve an issue
Preferred Qualifications
Previous experience is a plus
Education
High School diploma, G.E.D. or equivalent experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $31.30
Virtual Assistant, $50/hr, Weekend, No Degree, Remote Virtual Assistant, $42/hr, Evening, Remote, College Student Virtual Assistant, $50/hr, Evening, Remote, College Student Remote Customer Support, $45/hr, No Experience, Part-Time Remote Live Chat, $45/hr, College Student, No Experience Data Entry, $50/hr, Night Job, No Degree, Remote Data Entry, $40/hr, No Experience, Remote, Weekend Job Remote Live Chat, $50/hr, Part-Time, Evening/Night Job Virtual Assistant, $35/hr, Remote, Part-Time, Evening Job Virtual Assistant, $35/hr, Part-Time, Remote, Weekend Job Remote Phone Job, $42/hr, Part-Time, College Student Friendly Remote Data Entry, $40/hr, Weekend Job, College Student Remote Live Chat, $40/hr, College Student, No Experience Customer Support, $35/hr, Night Job, Remote, No Experience Virtual Assistant, $50/hr, Evening, Remote, College Student Data Entry, $40/hr, Evening Job, No Experience, Remote Phone Support, $40/hr, Remote, No Experience, Evening Job Remote Customer Support, $35/hr, Night Shift, No Degree Remote Phone Job, $40/hr, No Degree, College Student Friendly Data Entry, $40/hr, Evening Job, No Experience, Remote Data Entry, No Degree, $45/hr, Part-Time, Remote Job Part-Time Customer Support, $40/hr, Remote, College Student Live Chat Support, $50/hr, Remote, No Experience Required Remote Live Chat, $45/hr, College Student, No Experience Data Entry, $35/hr, Remote, Evening Job, College Student Live Chat Support, $40/hr, Part-Time, Remote, No Degree Part-Time Customer Support, $40/hr, Remote, College Student Remote Phone Job, $35/hr, College Student, Night Shift Phone Support, $50/hr, Weekend, Remote, No Experience Customer Support, No Degree, $40/hr, Remote, Weekend Job Part-Time Data Entry, $45/hr, Remote, College Student Friendly Phone Job, $50/hr, Remote, Part-Time, College Student Data Entry, Remote, $40/hr, Night Shift, No Degree Virtual Assistant, $40/hr, Remote, Night Shift, No Experience Data Entry, No Experience, $50/hr, Remote, College Student Weekend Data Entry, $40/hr, Remote, No Experience Data Entry, $40/hr, Remote, Night Job, No Degree Entry-Level Remote Data Entry, $35/hr, Evening Job Remote Phone Job, $45/hr, No Degree, College Student Friendly Virtual Assistant, $35/hr, Weekend, No Degree, Remote Virtual Assistant, $50/hr, Weekend, No Degree, Remote Remote Data Entry, $45/hr, Weekend Job, College Student Customer Support, $42/hr, Remote, Part-Time, No Degree Virtual Assistant, $42/hr, Remote, No Experience, Evening Remote Moderator, No Degree, $35/hr, Evening, Weekend Job Remote Customer Support, $42/hr, Weekend, No Experience Remote Phone Job, $35/hr, College Student, Night Shift Phone Support, Remote, $35/hr, No Experience, Part-Time Virtual Assistant, $35/hr, Weekend, No Degree, Remote Remote Phone Job, $45/hr, Part-Time, No Degree Required Virtual Assistant, No Experience, $40/hr, Remote, Part-Time Customer Support, $35/hr, Remote, Evening/Night Job, No Degree Remote Moderator, $40/hr, Weekend, No Experience Required Virtual Assistant, $40/hr, Remote, Night Shift, No Experience Weekend Data Entry, $45/hr, Remote, No Experience Weekend Customer Support, $42/hr, Remote, College Student Weekend Customer Support, $40/hr, Remote, College Student Phone Job, $50/hr, Remote, Part-Time, College Student Evening Virtual Assistant, Remote, $40/hr, No Experience Data Entry, $45/hr, Remote, Night Job, No Degree Remote Data Entry, No Experience, $40/hr, Part-Time Live Chat Support, $45/hr, Weekend, Remote, College Student Phone Support, Remote, $50/hr, No Experience, Night Shift Virtual Assistant, $45/hr, No Experience, Remote, Night Job Remote Phone Job, $50/hr, College Student, Night Shift
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
