We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Eligibility Consultant processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. This person will provide support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.
What you will do:
- Handle physical documents and paper records to verify the eligibility of patients or members for healthcare services.
- Review paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria.
- Organize paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information.
- Analyze the paper-based information and documentation to determine the eligibility of patients or members for healthcare services.
- Perform manual data entry tasks to input eligibility information into relevant systems or databases.
- Ensure compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality.
- Identify opportunities to enhance the efficiency and accuracy of paper-based eligibility operations.
- Follow regular, timely feedback, as well as the formal performance review process, to ensure delivery of exceptional services and engagement, motivation, and personal development.
- Generate reports and analyze data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making.
Required Qualifications
- 1+ year of experience with data entry.
- Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
- Must reside in Phoenix, Arizona.
Preferred Qualifications
- Demonstrated problem solving and decision-making skills.
- Previous experience working with Medicare and Medicaid.
- Ability to work successfully within a collaborative, team-based environment.
- Strong communication skills.
- Strong attention to detail.
Education
- High school diploma or GED.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $28.46This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 1+ year of experience with data entry.
- Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
- Must reside in Phoenix, Arizona.
- High school diploma or GED.
- Demonstrated problem solving and decision-making skills.
- Previous experience working with Medicare and Medicaid.
- Ability to work successfully within a collaborative, team-based environment.
- Strong communication skills.
- Strong attention to detail.
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
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