Healthcare Enrollment & Eligibility Specialist

CVS Health Corporation; Jackson (MS); 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

Wellness programs

Job summary

CVS Health Corporation is seeking an Enrollment Specialist to verify enrollment status, update member records, and address a variety of enrollment questions. You will maintain enrollment databases and coordinate electronic transfers of eligibility data to ensure accurate, timely information.

You will resolve issues with member data, liaise with clients, vendors and the IT department to define reporting needs, ensure HIPAA compliance, and support downstream systems and plan benefits activation.

Qualifications

• 1+ years of excellent customer service skills with internal and external customers.
• 1+ years of data entry experience.
• Must be able to type at least 35 WPM.
• Excellent verbal and written communication, including spelling and grammar.
• Experience with Word; proficient in Excel.

Responsibilities

• Verify enrollment status and make changes to member records.
• Maintain enrollment databases and coordinate electronic transfers of eligibility data.
• Respond to enrollment questions and resolve issues for members, clients, and vendors.
• Ensure requirements align with regulatory policies and benefit parameters.
• Support downstream systems and provide testing/validation as needed.

Skills

Customer service

Data entry

Communication

Typing 35 WPM

Word proficiency

Excel proficiency

Education

High School diploma or GED

Tools

Word

Excel

Job description

CVS Health Corporation is seeking an Enrollment Specialist to verify enrollment status, update member records, and address a variety of enrollment questions. You will maintain enrollment databases and coordinate electronic transfers of eligibility data to ensure accurate, timely information.

You will resolve issues with member data, liaise with clients, vendors and the IT department to define reporting needs, ensure HIPAA compliance, and support downstream systems and plan benefits activation.