Eligibility Consultant

Verify enrollment status, make changes to member records, respond to enrollment questions, maintain enrollment databases and coordinate electronic transfer of eligibility data; address eligibility issues with members, clients, and vendors; ensure compliance with HIPAA and downstream processes; develop tools and provide coding supplements and specifications for testing non-standard arrangements; act as liaison between clients, vendors, and IT to define business requirements and test data interfaces; ensure accurate data interface with downstream systems and support activation of plan benefits.