Healthcare Eligibility Specialist — Data & Service

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Columbia, SC is seeking an enrollment specialist to verify and update member records and handle enrollment inquiries. You will maintain databases, coordinate data transfers, and resolve eligibility issues across multiple teams.

The role requires strong data entry, typing speed, and excellent communication skills. A high school diploma is required; experience with Word/Excel and knowledge of health insurance concepts is preferred.

Qualifications

• 1+ years of customer service experience.
• 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 with clients, field offices and local claim operations.
• Applies considerations related to technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters.
• Develops tools and provides coding supplements, tape specifications and error listings to clients/vendors.
• Liaisons between clients, vendors and IT to define business requirements for non-standard reporting and testing of arrangements.

Skills

Customer service

Data entry

Typing 35 WPM

Excel

Word

Verbal & written communication

Education

High School diploma or GED

Tools

QuickBase

Job description

CVS Health in Columbia, SC is seeking an enrollment specialist to verify and update member records and handle enrollment inquiries. You will maintain databases, coordinate data transfers, and resolve eligibility issues across multiple teams.

The role requires strong data entry, typing speed, and excellent communication skills. A high school diploma is required; experience with Word/Excel and knowledge of health insurance concepts is preferred.