CVS Health

Coraopolis, PA

Associate Eligibility Consultant (In Office Position)

Posted over 1 month ago

Job Description

Job Description
Under general supervision, verifies enrollment and creditable coverage information, makes changes to member data , and calls members to obtain information and update that information in the enrollment systems.

-Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements
-Meet Monthly Metrics as defined by department
-Take ownership to resolve customer issues using all available resources including address change process flows and CMS guidance
-Participate in cross training on various products and platforms to ensure
-Enrollment metrics are met
-Demonstrate professionalism, active listening skills and processing knowledge when communicating with internal and external customers
-Learn how your work affects internal audit processes by working with seniors and eligibility consultants when errors are brought to your attention
-Utilize internal audits and suggestions to help improve your personal work
-Meet Departmental attendance expectations
-Identify coaching opportunities and escalate to a Senior or Supervisor
-Keep a positive attitude as changes occur

Required Qualifications
-Effective organization skills and attention to detail
-Maintain great working relationships with sound judgment and responsibility
-Effective communications, organizational, and interpersonal skills
-Demonstrated problem solving skills
-Some Medicare industry experience

Preferred Qualifications
Please review required qualifications above

Education
High School diploma, G.E.D. or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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