Eligibility Representative I

Centene Corporation

1d • Hybrid

About The Position

Processes and maintains eligibility information for routine individual and/or employer groups under direct supervision. Maintains accurate eligibility records for assigned line of business. Enters system eligibility data on a daily basis, including new enrollees, changes, and cancellations. Conducts periodic audits of group eligibility data. Reconciles group eligibility report to monthly statements. Responds to all written and telephone eligibility inquires from individuals or assigned employer groups. Researches information on subscribers to resolve problems and disputes. Maintains quality and production standards as outlined by the department. Assists with special projects. Performs other duties as assigned. Complies with all policies and standards.

Requirements

• High School Diploma or equivalent required.
• One year general work experience required.

Responsibilities

• Enters system eligibility data on a daily basis, including new enrollees, changes, and cancellations.
• Conducts periodic audits of group eligibility data.
• Reconciles group eligibility report to monthly statements.
• Responds to all written and telephone eligibility inquires from individuals or assigned employer groups.
• Researches information on subscribers to resolve problems and disputes.
• Maintains quality and production standards as outlined by the department.
• Assists with special projects.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees