Eligibility Analyst

At Luminare Health Benefits, Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health Benefits (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities. Job Summary Responsible for providing quality service by timely and accurately entering and/or modifying eligibility data in Health Benefits systems according to established procedure and client requirements. Also responsible for responding to telephonic, written and electronic inquiries (PMC/web inquires) from employees/members, clients, brokers and co-workers. Required Job Qualifications: High School diploma or GED equivalent Minimum 1-2 years of Eligibility and/or benefits experience Ability to work in a fast-paced, customer service and production driven environment Exceptional data entry skills with high attention to detail Effective verbal and written communication skills Ability to work effectively with team members, employees/members, providers, and clients Ability to meet deadlines with strong follow-up skills Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form Critical thinking skills; logic and reasoning to foresee and identify potential problems and proactively take steps to remedy the issue Flexible; open to continued process improvement with the ability to prioritize and adapt to business needs Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word Preferred Job Qualifications: Prior experience in a medical office or hospital billing environment Self-Funded Insurance/Benefits and/or TPA experience Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! EEO Statement: All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability. Pay Transparency Statement: At Luminare Health Benefits, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan. Min to Max Range: $14.32 - $26.90 Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.

Salary : $14 - $27