Eligibility Coordinator

Job Summary

To support the Claim Adjudication Operations team, the full-time remote Coordinator, Eligibility will manage client eligibility processes, ensuring accurate administration of benefits while collaborating with various internal teams and participating in process improvement initiatives.

Key responsibilities

• Oversees and maintains eligibility data and processes for clients, ensuring timely and accurate updates
• Performs urgent eligibility changes to prevent access issues and ensures compliance with performance guarantees
• Collaborates with clients and Account Management to report data errors and participate in audits and meetings

Required qualifications

• Associate's degree or equivalent work experience required
• Minimal experience or training to begin learning role-specific skills and processes
• Basic experience with Microsoft Office, particularly Word and Excel
• Ability to support compliance program objectives
• Consistent cooperative interaction with other employees