Work from Home Claims Eligibility Coordinator-Clerk

Job Summary

A diversified health care company that serves the markets for health benefits and services worldwide has a current position open for a Work from Home Claims Eligibility Coordinator-Clerk.

Candidates will be responsible for the following:

• Verifying eligibility with health plans via the telephone or web site
• Maintaining a daily spreadsheet for completed eligibility requests and mail backs sent
• Running EDI Eligibility Fallout process to create Eligibility Worksheets, Mail Backs and Trailers

Position Requirements Include:

• High School Diploma or GED
• 1 year of experience in medical office or claims environment
• 1-2 years of experience in HMO / PPO in eligibility maintenance
• 1-2 years of experience in HMO or related entities with eligibility systems applications
• 1 year of Computer knowledge: Basic Excel, Word, Outlook, Alpha Numeric Entry, 40-45 wpm
• Demonstrated computerized database administration skills