Healthcare Eligibility Specialist

CVS Health Corporation; Topeka (KS); On-site; USD 23,000 - 47,000; Full time

Job summary

CVS Health Corporation in Topeka, KS seeks a full-time Enrollment Specialist to verify member enrollment status and update records. You will respond to questions, maintain databases, and coordinate data transfers with clients and internal teams.

Responsibilities include resolving eligibility issues, applying policy guidelines, and creating data tools for standard and non-standard reporting. You will ensure secure handling of sensitive information and support downstream systems integration.

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 to and resolves eligibility and enrollment issues involving member information; works with clients and field offices to achieve positive service outcomes.
• Applies regulatory and policy considerations to eligibility matters and system requirements.
• Develops tools and provides coding supplements, tape specs and error listings to clients/vendors.
• Acts as liaison between clients, vendors and IT for business requirements and testing non-standard arrangements.
• Ensures data transactions interface with downstream systems and tests data files for new or existing clients.

Skills

Customer service

Data entry

Typing 35 WPM

Verbal and written communication

Education

High School diploma or G.E.D.

Tools

Word

Excel

Job description

CVS Health Corporation in Topeka, KS seeks a full-time Enrollment Specialist to verify member enrollment status and update records. You will respond to questions, maintain databases, and coordinate data transfers with clients and internal teams.

Responsibilities include resolving eligibility issues, applying policy guidelines, and creating data tools for standard and non-standard reporting. You will ensure secure handling of sensitive information and support downstream systems integration.