Eligibility Administrator

Job Summary

To support accurate member enrollment processes, the full-time hourly Eligibility Administrator will manage eligibility transactions, validate enrollment information, and collaborate with clients and internal teams in a 100% remote environment.

Key responsibilities

• Process new member enrollments, terminations, and eligibility changes while adhering to service standards
• Respond to eligibility inquiries and resolve discrepancies in collaboration with clients and operational teams
• Review production metrics and meet established transaction goals to ensure quality assurance

Required qualifications

• High School Diploma or GED
• 2-4 years of operations experience or equivalent combination of education and experience
• Advanced Microsoft Excel skills, including data manipulation and reporting
• Experience interpreting large data sets and identifying discrepancies
• Ability to navigate multiple systems efficiently while maintaining compliance with HIPAA guidelines