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Eligibility Processor I
Ref No.: 18-14609
Location: Maryland Heights, Missouri
Eligibility Processor (Data Entry / Customer Service)
Maryland Heights, MO
3+ month temp to hire
 
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:
  • 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