What are the responsibilities and job description for the Eligibility Specialist position at Elevance Health?
Company Description
Elevance Health is dedicated to improving the health of humanity by transforming into a trusted lifelong health partner. With nearly 100,000 associates, the organization serves over 118 million people across various stages of health. By adopting an integrated whole health approach powered by advanced capabilities and a digital health platform, Elevance Health addresses a wide range of healthcare needs. The company is committed to redefining health, reimagining the healthcare system, and strengthening communities for a healthier future.
Role Description
This is a full-time remote role for an Eligibility Specialist at Elevance Health. The Eligibility Specialist will assist members and clients in navigating eligibility requirements and health plan options. Responsibilities include responding to inquiries, processing eligibility documentation, ensuring compliance with health plan policies, and resolving eligibility-related issues efficiently. The role involves extensive communication with clients and stakeholders, ensuring high-quality service delivery.
Qualifications
- Strong Communication and Customer Service skills to clearly address inquiries and provide support effectively.
- Knowledge and experience in Human Services and Medicaid eligibility processes.
- Understanding of Insurance practices and the ability to assist members with related documentation and compliance.
- Proficiency in using technological tools and platforms for remote work.
- Excellent organizational and problem-solving skills.
- Prior experience in healthcare or insurance industries is a plus.
- High school diploma or equivalent is required; advanced education is a plus.