CVS Health Consultant Jobs Work From Home Online Vacancy 2021

By | April 13, 2022

Job Responsibilities : Eligibility Consultant – Work From Home

Salary : $17 per hour

Company : CVS Health

Location : Remote Us

Educational requirements : High School

Responsibilities

  • Responds, researches, and resolves eligibility and/or billing related issues involving member specific information;
  • Works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes.(*)
  • Monitors daily status reports assessing output for developing trends potentially impacting service levels. (*)
  • Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. (*)
  • Validates benefit plan enrollment information for assigned clients for accuracy and completeness; coordinates the distribution of membership ID cards and partnering with appropriate internal/external support areas involving any requests for ID card customization. (*)
  • Completes screen coding and data entry requirements related to the systems processes impacting the generation and release of member-specific and plan sponsor products (e.g., ID cards, change applications, audit lists, in-force lists, HIPAA certificates and various reports). (*)
  • When necessary, reviews and corrects transaction errors impacting eligibility interfaces and prepares eligibility/enrollment information for imaging. (*)
  • Interprets and translates client benefits and supporting account structure against internal systems/applications (i.e.,GEBAR, AAS, and CCI). (*)
  • Determines and communicates standard service charges to internal/external customers related to paper eligibility activities; May include negotiating and communicating charges pertaining to non-standard services.
  • Partners with other team functions to coordinate the release of eligibility and benefit plan information; reproduces group bills if requested by clients

Required Qualifications

  • Attention to detail and accuracy.
  • Problem solving skills.
  • Strong organization skills.
  • Understands the impact of work to other teams and downstream support areas.
  • Ability to analyze and research data to make appropriate corrections as necessary.
  • Strong verbal and written communication skills.
  • Workplace flexibility – ability to adapt to change.

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