Remote Medicare Eligibility Data Specialist

Creative Solutions Services, LLC; Illinois; On-site; USD 25,000 - 30,000; Full time

Job summary

Creative Solutions Services, LLC is seeking an Eligibility Representative for a fully remote, contract position. The role focuses on processing enrollment transactions and eligibility data with strong emphasis on accuracy, compliance, and Medicare requirements.

You will perform data entry, validation, and analysis, coordinate with internal teams, and ensure timely processing while maintaining high quality in a data-driven environment.

Qualifications

• Knowledge of Medicare Advantage enrollment and eligibility (Part A, Part B, and Part C).
• Strong analytical and problem-solving skills with a data-focused mindset.
• High attention to detail and ability to manage large volumes of transactional work.
• Proficiency in Microsoft Excel.
• Ability to work independently with minimal supervision.
• Strong written communication for internal collaboration.

Responsibilities

• Process and maintain eligibility and enrollment transactions, including updates, corrections, and reconciliations of member data.
• Review eligibility reports to identify discrepancies and resolve them.
• Implement and maintain data across automated systems, direct connections, and manual workflows.
• Verify eligibility and ensure compliance with Medicare guidelines and regulatory requirements.
• Collaborate with internal teams to investigate and resolve data or processing errors.
• Perform detailed data entry and validation tasks with a high level of accuracy and timeliness.
• Monitor transaction outputs to ensure completeness and adherence to established standards.

Skills

Medicare enrollment knowledge

Analytical thinking

Data entry accuracy

Attention to detail

Microsoft Excel

Independent work

Internal communication

Education

High school diploma or equivalent

Tools

Enrollment systems

Job description

Creative Solutions Services, LLC is seeking an Eligibility Representative for a fully remote, contract position. The role focuses on processing enrollment transactions and eligibility data with strong emphasis on accuracy, compliance, and Medicare requirements.

You will perform data entry, validation, and analysis, coordinate with internal teams, and ensure timely processing while maintaining high quality in a data-driven environment.