Eligibility Consultant (Phoenix, Arizona)

CVS Health•Work At Home-Arizona, AZ

2d•Onsite

About The Position

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.

Requirements

1+ year of experience with data entry.
Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).
Must reside in Phoenix, Arizona.

Nice To Haves

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.

Responsibilities

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.