Eligibility Administrator

Job Summary

To support client groups effectively, the full-time hourly Eligibility Administrator will maintain eligibility by processing transactions related to enrollments, terminations, and changes in a timely manner while working remotely.

Key responsibilities

• Examine and process eligibility transactions for new enrollments, changes, reinstatements, and terminations based on established policies and procedures
• Maintain assigned workload to ensure all transactions are completed accurately and within set production standards
• Correspond with clients and internal teams to resolve eligibility questions and issues while adhering to HIPAA guidelines

Required qualifications

• High School Diploma or GED
• 2-4 years of operations experience or equivalent combination of education and experience
• Strong technology skills, particularly with Microsoft products
• Ability to interpret large amounts of data related to transactions
• Experience in a team-oriented environment, collaborating with other departments