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Eligibility Processor I
Ref No.: 18-08000
Location: Maryland Heights, Missouri
Description:
Responsible for creation and maintenance of member and provider eligibility records. Research and reconcile authorization data to ensure accuracy. Perform manual entry of authorizations into various client systems. Comfortable with high degree of contact with case managers, client contacts, and providers.

Essential Functions:
- Evaluates data and determines what process is required for specific systems and accounts.
- Processes member enrollment and change of coverage requests.
- Verifies provider contractual status.
- Corresponds with contacts regarding member and provider data.
- Resolves problems with automated transmission of authorizations.
- Responsible for timely and accurate keying of authorizations in client systems.

Requirements/Certifications:
- (3) Openings; if your candidate was interviewed or declined on 596112 DO NOT SUBMIT
- Pay rate cannot exceed $15.50/hr
- General punctuality and attendance, as well as good attitude and willingness to learn are absolute musts
- General computer literacy (email and basic Excel) are must haves
- Minimum of 1 year customer service, claims, or general office experience
- Proficient with MS Office software.- Ability to type 60 WPM. - Strong ten key user.- Results and solution oriented; not afraid to ask questions
- Duration: Temp to hire