Eligibility Consultant

1 week ago


Buffalo, New York, United States CVS Health Full time
Job Summary

At CVS Health, we're committed to delivering exceptional healthcare experiences for our patients and customers. As an Eligibility Analyst, you'll play a vital role in ensuring that our members receive the right benefits and services at the right time. Your attention to detail and analytical skills will help us identify and resolve eligibility issues, ensuring that our members receive the care they need.

Key Responsibilities
  • Verify enrollment status and make changes to member records as needed
  • Maintain accurate and up-to-date enrollment databases
  • Utilize online resources to understand account structure and benefits
  • Respond to and resolve eligibility and enrollment-related issues
  • Apply technical requirements, legislative policies, and account structure in addressing eligibility matters
  • Act as a liaison between clients, vendors, and the IT department
  • Ensure all transactions interface correctly with downstream systems
Requirements
  • Excellent written and verbal communication skills
  • Demonstrated ability to creatively solve problems and create improvements
  • Experience with Word, Excel, Outlook, and data entry
  • Ability to manage multiple tasks and shifting priorities
  • Ability to manage high work volume and oversee a variety of incoming work flows
Preferred Qualifications

Previous experience in a similar role is a plus.



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