Job Summary

A managed healthcare and insurance company needs applicants for an opening for a Telecommute Health Insurance Eligibility Verification Risk Analyst.

Core Responsibilities of this position include:

• Conducting audits and reconciling tax documents for group and member level eligibility
• Communicating decisions/analysis in a concise professional manner
• Maintaining reporting and tracking database for assigned groups

Required Skills:

• 1+ years equivalent work experience in health insurance and/or auditing
• Intermediate level of proficiency with Microsoft Office applications
• Strong analytical, problem solving and critical decision-making skills
• Knowledge of Healthcare Industry and Products
• Ability to meet TAT and productivity goals set by management
• Ability to learn platforms/systems as required