Eligibility Consultant

3 weeks ago

Harrisburg, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Review and process pending enrollment transactions accurately and timely to assure enrollments are completed for new members. This includes continuous thorough research, outbound calls to enrollees and referencing knowledge documents. Assist other teammates when necessary and always keeping our members at the forefront of our performance. Overall performance is evaluated with the following factors: Meet Monthly Metrics as defined by department: Overall quality 98.5%; weighted production 11; TAT to meet or exceed established standards for inventory queues; Verint KPIs: Time in Adherence 95%, Idle Time 20%, Production Time 90% Personal errors from the OMT, avoidable rejections, and found errors will be monitored by your supervisor. Consistent repetitive errors in these categories can lead to corrective action if no improvement is made. Participate in cross training on various products and platforms to ensure Enrollment metrics are met Meet Departmental attendance expectations of 5 occurrences or less Follow established processes and workflows for each department task. Required Qualifications Experience working in a fast-paced production environment Experience making outbound calls to patients, members, etc. Ability to work overtime hours when needed during weekdays and on the weekends Flexibility with work assignmentsPreferred QualificationsMedicare knowledge and working experienceEducationHigh School Diploma or GED Pay Range The typical pay range for this role is: $17.00 - $29.88 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 06/07/2024 We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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