Enrollment & Eligibility Specialist for Health Plans

CVS Health; Austin (TX); On-site; USD 23,000 - 47,000; Full time

Benefits offered by this job

Bonus eligibility

Benefits package

Job summary

CVS Health is hiring for an Enrollment Specialist in Austin, TX. Under supervision, you will verify enrollment status, update member records, and handle eligibility inquiries to ensure accurate benefits processing.

You will maintain enrollment databases, coordinate electronic data transfers, and collaborate with clients, field offices and IT to resolve issues while ensuring HIPAA compliance and quality standards. 40-hour weeks, full-time position.

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

• Under general supervision, verifies enrollment status, makes changes to member 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 with clients, field marketing offices and local claim operations to achieve positive service outcomes.
• Applies guidelines related to technical requirements, policies, account structure and benefit parameters in eligibility matters.
• Develops tools and provides coding supplements, tape specifications and error listings to clients/vendors.

Skills

Customer service

Data entry

Typing 35 WPM

Verbal and written communication

Excel

Education

High School diploma or GED

Tools

Word

Excel

QuickBase

Job description

CVS Health is hiring for an Enrollment Specialist in Austin, TX. Under supervision, you will verify enrollment status, update member records, and handle eligibility inquiries to ensure accurate benefits processing.

You will maintain enrollment databases, coordinate electronic data transfers, and collaborate with clients, field offices and IT to resolve issues while ensuring HIPAA compliance and quality standards. 40-hour weeks, full-time position.