Eligibility Specialist

Job Summary

A company is looking for an Eligibility Specialist to manage eligibility data and ensure compliance with regulations.

Key Responsibilities:

• Process eligibility data including enrollments, changes, and terminations
• Review and reconcile eligibility files from various sources
• Respond to eligibility-related inquiries from participants and clients

Qualifications:

• 1-3 years of experience in benefits administration or related fields
• Experience in a third-party administrator (TPA) setting is preferred
• Proficient in Microsoft Office Suite
• High school diploma or GED required; Associate's or Bachelor's degree preferred
• Working knowledge of HIPAA and ERISA is a plus