Job Title: Eligibility Associate Representative Location: 100% Remote **Seeking East Coast Candidates Only** Duration: 7+ Months Schedule: Monday - Friday 8:30 am - 5 pm EST Training schedule will be the same 100% Remote
Description:
Delivers basic technical, administrative, or operative Eligibility tasks including Insurance verifications.
Implements and maintains eligibility for benefits.
Implements, updates, and maintains automated, direct connect and/or manual eligibility data by keying information into the system. Interacts with internal partners and/or external clients/vendors.
Analyzes data and reconciles eligibility for accuracy involving Coordination of Benefits (COB).
Researches and resolves problems. Escalates difficult issues. Strong analytical skills and customer service skills.
General product knowledge.
Understands simple instructions and procedures.
Performs Eligibility duties under direct instruction and close supervision.
Work is allocated on a day-to-day or task-by-task basis with clear instructions.
Entry point into professional roles.
Top 3 Skills:
Analytical skills.
Customer Service Skills
Quick Learner.
Worker will need to be able to work independently.
Analytical Skills.
Customer service experience a plus.
Excellent Verbal / Written Communication Skills.
3-5 years of Healthcare Insurance Background.
Medicare C Medical and Part D.
Receive files from CMS - Verify Insurance is Active.
Be able to handle heavy Outbound & Inbound Calls (Certain Times of the Yr.).
3rd Party Liability - Deals with Auto Accidents.
Microsoft Window Programs.
SQL (a plus not required)
Education:
High School Diploma and/or GED required.
2 years of College preferred.
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer.
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $15.00/hr.
