Eligibility Specialist
Responsibilities
- Reviews submitted enrollment requests assigned via the enrollment queues.
- Processes according to established productivity goals while maintaining established quality goals.
- Takes initiative to check questions or unusual situations with management in accordance with established guidelines.
- Ensures thorough and timely completion of requests for additions, changes and terminations to subscriber and dependent records.
- Notifies the Supervisor of trends that will impact internal and external customers.
- Must be able to work required extra hours as dictated by business needs.
- Performs other duties as assigned.
Qualifications
Education
- High School Diploma or College Degree preferred.
Experience
- Minimum 3 years of experience in the health insurance industry, with a combined focus on production and quality. College degree in lieu of experience will be considered.
Knowledge, Skills, Abilities
- Demonstrated ability to deal effectively with others and have a willingness to be a team player.
- Demonstrated ability to communicate via email.
- Familiarity with data processing and the ability to work with documented policies and procedures.
- Health Rules, Excel, Word, SharePoint, One Hub, Service Now and any other system that logs productivity and triages workflow.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At AmeriHealth, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At AmeriHealth, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
AmeriHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.