Eligibility Consultant Coordinator

Job Summary

To support a high-paced environment, the fully remote Eligibility Consultant Coordinator will perform multi-system research, validate provider eligibility for Medicare members, and conduct outreach for chronic condition verification.

Key responsibilities

• Perform multi-system research and process provider updates for new and existing members
• Validate provider information and ensure accurate eligibility for Medicare members
• Conduct outreach to obtain Verification of Chronic Condition from members and providers

Required qualifications

• High School Diploma, GED, or equivalent
• Experience with members/providers and a background in healthcare preferred
• Knowledge of provider networks and outbound call experience
• Proficiency in Outlook, MS Excel, and Word
• Experience working in a team environment