Advanced Eligibility Consultant managing complex eligibility issues for CVS Health. Responsible for client consultation, team mentoring, and process improvements.
Responsibilities
Responsible for complex and high valued clients
Work and resolve complex issues with minimal supervision
Consultative in nature when working with other departments, clients, and brokers
Coach and mentor junior staff and develop training plans
Maintain processes regarding billing and claims processing, insurance verification and authorization, revenue cycle management, and compliance & documentation
Reconcile issues to ensure accurate billing and satisfactory customer experiences
Requirements
2+ years of experience with eligibility, particularly within the commercial health insurance industry
Proficiency in processing accurate and timely policy and eligibility data
Experience using QuickBase
Proficiency in Microsoft Outlook, Teams, Windows, and Excel
Ability to manage multiple tasks/priorities
Knowledge in auditing and a proven ability to think creatively and develop innovative solutions
Bachelor's degree or equivalent experience (high school diploma or GED + 4 years of relevant experience)
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
Oracle EBS Technical Consultant with 5+ years of experience in developing and supporting Oracle E - Business Suite. Working closely with functional teams to understand requirements and provide technical solutions.
Services Delivery Consultant leading enterprise Asana implementations for clients at Spur Reply. Serving as trusted advisor and change management partner for effective Asana adoption.
Services Delivery Consultant leading enterprise Asana implementations for clients. Acting as a trusted advisor and change management partner to drive collaboration and business results.
Senior Middleware Consultant leveraging Red Hat's middleware products for enterprise project with a focus on cloud - native tech. Engaging with clients across Japan, enhancing their infrastructure.
Consultant in Health Education at Cogna, the largest education service company in Brazil. Focusing on maintaining academic standards and providing support in educational content development.
Solution Consultant working with clients on innovative digital projects and architecture. Collaborating with internal teams and presenting solutions at events and workshops.
Sales Consultant advising students on educational programs with a focus on personalized solutions and successful sales methodologies. Join an expanding international educational project with hybrid work arrangements.
International Assignment Consultant providing high - quality relocation services for global clients. Navigating the assignment process and ensuring customer satisfaction throughout the relocation.
Junior Consultant supporting senior team members in PR campaigns and media relations at Archetype. Driving implementation of strategies and crafting compelling communications in a high - standard environment.