Eligibility Consultant - Medicare Enrollment

CVS Health • Pittsburgh, PA

4d • $17 - $28

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Process all incoming member correspondence and scan it into the right queue for workflow. Handle all rescans that need to be completed daily. Process and handle all return mail. Return mail volume on Average is about 10,000 piece a day. As we presort the mail, we pull all forwarding addresses out and work them into the correct queue. All return mail without a forwarding address is scanned into MRM. All return mail that can not be barcoded is prepped or manually completed into the correct queue. Process all Premium Billing rejected payments. Review all rejected checks. Reroute checks to the appropriate department if applicable. Remote deposit checks if applicable. Return checks to the sender with a letter stating why we could not process the check. Member outreach. Making an outreach call to the member to see if we can get a better address as we received return mail on there policy. Making sure the member is still in area, and if the member is out of area making sure we give them the correct information, so that the member can call in to get a different plan, so they are not disenrolled at the end of the month. 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 12/23/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

• Process all incoming member correspondence and scan it into the right queue for workflow.
• Handle all rescans that need to be completed daily.
• Process and handle all return mail.
• Return mail volume on Average is about 10,000 piece a day.
• As we presort the mail, we pull all forwarding addresses out and work them into the correct queue.
• All return mail without a forwarding address is scanned into MRM.
• All return mail that can not be barcoded is prepped or manually completed into the correct queue.
• Process all Premium Billing rejected payments.
• Review all rejected checks.
• Reroute checks to the appropriate department if applicable.
• Remote deposit checks if applicable.
• Return checks to the sender with a letter stating why we could not process the check.
• Member outreach.
• Making an outreach call to the member to see if we can get a better address as we received return mail on there policy.
• Making sure the member is still in area, and if the member is out of area making sure we give them the correct information, so that the member can call in to get a different plan, so they are not disenrolled at the end of the month.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees