
Technical Eligibility Analyst
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
• Evaluate technical eligibility aspects related to Luminare Health's healthcare operations.
• Collaborate with employees/members, providers, clients, and colleagues to address eligibility concerns.
• Execute precise data entry utilizing proprietary systems as well as MS Excel and Word.
• Follow oral, written, or diagrammatic instructions effectively.
• Detect and resolve issues in various scenarios.
• Adjust to process enhancements and new system platforms.
• Operate efficiently with minimal supervision in a customer service and production-oriented setting.
• High School diploma or GED equivalent is required.
• A minimum of three years of experience in eligibility is required.
• Capability to thrive in a fast-paced, customer service, and production-focused environment.
• Outstanding data entry abilities with meticulous attention to detail.
• Strong verbal and written communication skills are essential.
• Proficient in working collaboratively with employees/members, providers, clients, and various levels of co-workers, including Client Management staff.
• Skilled in applying common sense to follow instructions provided in oral, written, or diagrammatic format.
• Flexibility and openness to ongoing process improvements are necessary.
• Self-motivated individual who can work effectively with minimal oversight.
• Strong leadership, organizational, and interpersonal skills.
• Proven critical thinking abilities.
• Competence in effectively managing problems in different situations and achieving resolutions.
• Ability to learn new or proprietary systems, adapt to diverse system platforms, and proficiently use MS Excel and Word.
• Bachelor's degree is preferred.
• Previous leadership experience is preferred.
• Health and wellness benefits.
• 401(k) savings plan.
• Pension plan.
• Paid time off.
• Paid parental leave.
• Disability insurance.
• Supplemental life insurance.
• Employee assistance program.
• Paid holidays.
• Tuition reimbursement.
• Other incentives.
• Annual incentive bonus plan.
Horizon Connect @ Wall BCBSNJ
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