Remote Benefits Eligibility Specialist (PEBB/SEBB)

Washington State Health Care Authority; Olympia (WA); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Tuition reimbursement

Free parking

Mobile work options

Job summary

Washington State Health Care Authority seeks a Benefits Eligibility Specialist to support PEBB and SEBB programs, advising on eligibility, enrollment, and benefits via phone, email, portal, and in-person interactions.

The role emphasizes strong communication and problem-solving in a fast-paced setting, with on-site reporting in Olympia and partial telework eligibility across Washington state.

Qualifications

• Bachelor’s degree or equivalent combination with relevant experience.
• Experience in health insurance, benefits eligibility, or related fields.
• Proficiency with PAY1, Benefits 24/7, and CRM/database tools.
• Strong communication, time management, and problem-solving skills.
• Ability to work in a fast-paced, customer-service environment.

Responsibilities

• Provide guidance on eligibility and enrollment for PEBB/SEBB programs.
• Assist customers via phone, email, portal, and in-person interactions.
• Counsel on policies, rights, responsibilities, and benefits enrollment.
• Navigate electronic profiles and benefits elections; support 24/7 portal.
• Analyze applications and documents for health benefits eligibility.

Education

Bachelor’s degree

Associate degree

Certificate of Medical Billing and Coding

Five years of experience

One year as Medical Assistance Specialist 2

Tools

HRISD/PAY1

Benefits 24/7

DRS Secure Client Remote Terminal

Avaya

Microsoft Office

Service Now

AX imaging system

Job description

Washington State Health Care Authority seeks a Benefits Eligibility Specialist to support PEBB and SEBB programs, advising on eligibility, enrollment, and benefits via phone, email, portal, and in-person interactions.

The role emphasizes strong communication and problem-solving in a fast-paced setting, with on-site reporting in Olympia and partial telework eligibility across Washington state.