Eligibility Research Representative

Job Summary

Eligibility Research Representative, responsible for researching and resolving eligibility verification requests in a remote, part-time position with a focus on maintaining accuracy and productivity.

Key Responsibilities

• Research and resolve member eligibility requests while maintaining production levels and accuracy
• Verify member eligibility through various resources and update records accordingly
• Participate in staff meetings and assist in peer mentorship as needed

Required Qualifications

• High School Diploma or GED certificate required
• 1 year of experience with 10 key, typing, and computer skills; 8,000 keystrokes per hour required
• Preferred experience in claims processing or eligibility verification
• Ability to maintain confidentiality and demonstrate professionalism
• Experience in customer service, particularly with outbound calls