Eligibility & Benefits Hotline Specialist (Hybrid)

1199SEIU Benefit and Pension Funds; New York (NY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

1199SEIU National Benefit Fund is seeking a detail-oriented Eligibility Specialist to support member services and benefits enrollment. You will manage eligibility updates, answer inbound calls, and ensure accurate data in Vitech and other systems.

The role requires two years in eligibility or health benefits, proficiency with Vitech/QNXT/Express Scripts, and strong Excel/reporting skills. Hybrid work arrangement with occasional overtime may be required.

Qualifications

• High School Diploma or GED; some college preferred.
• 2+ years of eligibility systems knowledge (Vitech, QNXT, or ESI) in a health benefits environment.
• 2+ years customer service experience in a call center or member-facing role.
• Knowledge of enrollment documentation, eligibility requirements, benefits, and processing.
• Excellent keyboarding skills (min 6,000 KPH, ≤6% error).
• Proficiency in Word/Excel; navigate Vitech V3.
• Strong customer service and telephone skills.
• Ability to work under pressure, multitask, meet deadlines, and problem-solve.
• Good verbal and written communication skills.
• Overtime availability preferred.
• Attendance and punctuality performance standards.

Responsibilities

• Perform eligibility and prescription benefit updates; resolve issues and provide excellent telephone customer service.
• Research, update, and follow up on enrollment/workflow changes in systems (Vitech, PHI, Express Scripts, QNXT).
• Data entry of enrollment information and member data from multiple sources.
• Communicate with management; flag member issues and report trends.
• Create weekly and monthly Excel reports on productivity.
• Collaborate with management to maintain and review production.
• Provide clerical support to the Eligibility department (filing, photocopying, faxing).
• Perform additional duties and projects as assigned by management.

Skills

Customer service

Telephone skills

Communication skills

Problem solving

Multitasking

Attendance/punctuality

Overtime availability

Education

High School Diploma or GED

Some College or Degree preferred

Tools

Vitech

QNXT

ESI

Microsoft Word

Excel

Vitech V3

Job description

1199SEIU National Benefit Fund is seeking a detail-oriented Eligibility Specialist to support member services and benefits enrollment. You will manage eligibility updates, answer inbound calls, and ensure accurate data in Vitech and other systems.

The role requires two years in eligibility or health benefits, proficiency with Vitech/QNXT/Express Scripts, and strong Excel/reporting skills. Hybrid work arrangement with occasional overtime may be required.