Eligibility Specialist

2 days ago


Burbank, California, United States Career Strategies, Inc. Full time
Job Summary

Career Strategies, Inc. is seeking a highly skilled Eligibility Specialist to join our team. As an Eligibility Specialist, you will be responsible for ensuring that our clients receive accurate and timely information about their health benefits. This includes processing new eligibility, loss of coverage, dependent coverage, pharmacy issues, COBRA administration, and other related tasks.

Key Responsibilities
  • Process new eligibility and loss of coverage requests in a timely and accurate manner
  • Verify dependent coverage and ensure that all necessary documentation is received
  • Resolve pharmacy issues and ensure that clients receive their medications in a timely manner
  • Administer COBRA benefits and ensure that clients receive accurate information about their coverage
  • Collaborate with the Eligibility Team, IT team, and vendors to identify and resolve eligibility data issues
  • Perform system testing and report results to the department Assistant Manager and/or Manager
  • Assist the Sr. Eligibility Technical Specialist in gathering data for monthly and quarterly performance reports
Requirements
  • Bachelor's degree in Healthcare, Math, Engineering, or related field, or equivalent work experience
  • Strong analytical and interpersonal skills
  • Ability to work on multiple assignments simultaneously
  • Experience working on large-scale projects
  • Learn various software applications and become self-sufficient in using the software in a user interface environment
Benefits

Career Strategies, Inc. offers a comprehensive benefits package, including medical, dental, and vision health insurance, 401K with a 2% employer match, pension, paid covered parking, generous vacation and sick day policy, and floating and anniversary days.



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