Eligibility Operations Advisor

A company is looking for an Eligibility Operations Advisor I, responsible for processing applications and coordinating information related to health insurance eligibility. Key Responsibilities Provide enrollment assistance and information on the HIPP/Premium Assistance program to Medicaid eligible recipients Verify and document health care coverage for Medicaid recipients and their families Complete data entry and maintenance of active cases during open enrollment and premium review Required Qualifications Minimum 2 years of experience in the insurance industry, healthcare, or government-sponsored programs Experience with high-volume phone inquiries and customer service Working knowledge of HIPAA privacy and security rules Ability to work with Microsoft Word and Excel Bilingual skills and knowledge of healthcare terminology are preferred

May 23, 2025 - 17:30
 0
Eligibility Operations Advisor
A company is looking for an Eligibility Operations Advisor I, responsible for processing applications and coordinating information related to health insurance eligibility. Key Responsibilities Provide enrollment assistance and information on the HIPP/Premium Assistance program to Medicaid eligible recipients Verify and document health care coverage for Medicaid recipients and their families Complete data entry and maintenance of active cases during open enrollment and premium review Required Qualifications Minimum 2 years of experience in the insurance industry, healthcare, or government-sponsored programs Experience with high-volume phone inquiries and customer service Working knowledge of HIPAA privacy and security rules Ability to work with Microsoft Word and Excel Bilingual skills and knowledge of healthcare terminology are preferred