Enrollment & Eligibility Specialist

CVS Health; Boise (ID); On-site; USD 23,000 - 47,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health is seeking a detail‑oriented enrollment specialist in Boise to verify enrollment status, update member records, and resolve eligibility questions. You will manage enrollment databases, coordinate data transfers, and work with clients, field offices and claim operations to ensure accurate service outcomes.

The role requires strong data entry, 1+ year in customer service, and proficiency with Word/Excel.

Qualifications

• 1+ years of excellent customer service skills with the ability to communicate effectively with both internal and external customers.
• 1+ years of Data entry experience.
• Must be able to type at least 35WPM
• Excellent verbal and written communication skills including articulation, spelling, grammar, proofreading, and telephone skills.
• Experience with Word and proficient in Excel.

Responsibilities

• Verifies enrollment status, makes changes to member/client records, and addresses enrollment questions or concerns.
• Maintains enrollment databases and coordinates electronic transfer of eligibility data.
• Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes.
• Applies technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters.
• Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors.
• Acts as liaison between clients, vendors, and IT with defining business requirements for non-standard reporting; approves programming specifications for testing non-standard arrangements.

Skills

Customer service

Data entry

Typing 35 WPM

Verbal & written communication

Education

High School diploma

Tools

Word

Excel

QuickBase

Job description

CVS Health is seeking a detail‑oriented enrollment specialist in Boise to verify enrollment status, update member records, and resolve eligibility questions. You will manage enrollment databases, coordinate data transfers, and work with clients, field offices and claim operations to ensure accurate service outcomes.

The role requires strong data entry, 1+ year in customer service, and proficiency with Word/Excel.