Eligibility Specialist
Remote · United States
Job Summary
Eligibility Specialist responsible for maintaining enrollment and benefit information for self-insured employer groups. Manages EDI member maintenance, updates in GBAS within 24 hours, oversees prescription drug benefits changes with Pharmacy Benefit Managers, prints and mails health ID cards, provides COBRA administration, runs eligibility reports, and participates in audits. Requires customer-service communication, HIPAA confidentiality, teamwork, and a proactive approach to process improvement. Benefits include comprehensive insurance options and retirement savings plans.
Required Qualifications
- High School Education Required
- Previous experience working in the insurance or benefits management field
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