Eligibility Coordinator
2 days ago
Community Health Plan of Washington is seeking a highly skilled Eligibility Coordinator to join our team. As an Eligibility Coordinator, you will be responsible for coordinating the Washington Apple Health eligibility/enrollment process, including data verification, error correction, updates, disenrollment, and enrollment tracking.
This role requires a strong understanding of medical terminology and coursework, as well as experience with State Medicaid Programs. You will work closely with state, other departments, and members to resolve eligibility, ID card, pharmacy access, and other issues.
The ideal candidate will possess a High School Diploma or equivalent, with a minimum of 2 years of operational experience in a managed healthcare environment. You will be proficient in Microsoft Word, Excel, and Outlook, and have strong written and verbal communication skills.
Key Responsibilities:
- Research and correct enrollment errors
- Process Primary Care Provider (PCP) change requests
- Resolve eligibility, ID card, pharmacy access, and other issues
- Communicate with state, other departments, and members
- Participate in business process improvements and system implementations
Requirements:
- High School Diploma or equivalent
- 2 years of operational experience in a managed healthcare environment
- Experience with State Medicaid Programs
- Proficient in Microsoft Word, Excel, and Outlook
What We Offer:
- Competitive salary and benefits package
- Opportunities for professional growth and development
- A diverse and inclusive work environment
How to Apply:
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information].
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