CVS Health

Bringing our heart to every moment of your health.

Eligibility Consultant – Paper Ops

Full TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

12 hours ago

Salary

$17 - $28 / hour

High SchoolEnglish

Job Description

• Handles physical documents and paper records to verify the eligibility of patients or members for healthcare services • Reviews paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria • Organizes paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information • Analyzes the paper-based information and documentation to determine the eligibility of patients or members for healthcare services • Performs manual data entry tasks to input eligibility information into relevant systems or databases • Ensures compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality • Identifies opportunities to enhance the efficiency and accuracy of paper-based eligibility operations • Follows regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and personal development • Generates reports and analyzes data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making

Job Requirements

  • Working knowledge of problem solving and decision making skills
  • High school diploma or equivalent required

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs including wellness screenings, tobacco cessation, and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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