Eligibility Data Analyst I — Remote

Medimpact; San Diego (CA); Hybrid; USD 31.000 - 49.000; Vollzeit

Benefits dieser Stelle

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

401K with Company Match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Zusammenfassung

MedImpact is seeking an Eligibility Analyst I to act as a liaison between Account Management and Eligibility, ensuring accurate daily client eligibility data loads and quality assurance validation.

The role collaborates with internal stakeholders, resolves processing issues, and develops documentation to support eligibility workflows. Remote options may be available based on business needs.

Qualifikationen

• BS/BA and 1+ years’ experience or equivalent combination of education and experience.
• Intermediate to advanced knowledge of Microsoft Office Suite.
• Data analysis experience preferred and healthcare eligibility experience a plus.
• Experience using Pharmscreens, EPSROI, COB File Manager required following training.

Aufgaben

• Accountable for Performance Guarantees.
• Assisting in Audits and Sox Compliance.
• Overseeing and quality review of the Eligibility file loads.
• Performs quality assurance validation of eligibility file loads to verify data integrity, completeness, and adherence to processing requirements.
• Coordinates with Account Management to validate file requirements, resolve processing issues, and ensure timely and accurate eligibility file ingestion.
• Writes and maintains detailed reference documentation in support of eligibility.
• Oversees verification of TPAs and Commercial Carriers batch file processing requests are completed.

Kenntnisse

Data analysis

Healthcare eligibility

Microsoft Office Suite

Ausbildung

BS/BA in related field

Tools

Pharmscreens

EPSROI

COB File Manager

Jobbeschreibung

MedImpact is seeking an Eligibility Analyst I to act as a liaison between Account Management and Eligibility, ensuring accurate daily client eligibility data loads and quality assurance validation.

The role collaborates with internal stakeholders, resolves processing issues, and develops documentation to support eligibility workflows. Remote options may be available based on business needs.